CA2996996A1

CA2996996A1 - Tgf-.beta.-receptor ectodomain fusion molecules and uses thereof

Info

Publication number: CA2996996A1
Application number: CA2996996A
Authority: CA
Inventors: John C. Zwaagstra; Traian Sulea; Maria Jaramillo; Maureen D. O'connor; Anne E.G. Lenferink
Original assignee: National Research Council of Canada
Current assignee: National Research Council of Canada
Priority date: 2015-08-31
Filing date: 2016-08-31
Publication date: 2017-03-09
Also published as: US20200231652A1; ES3028883T3; EP3344660A1; EP3344660A4; US20220169702A1; US12391743B2; WO2017037634A1; EP3344660B1

Abstract

The present invention relates, in general, to polypeptides capable of binding and neutralizing transforming growth factor beta (TGF-beta) ligands, and uses of these polypeptides for treating disorders related to TGF-beta expression or activation (e.g. cancer and fibrotic diseases), and methods of making such molecules.

Description

TGF-B-RECEPTOR ECTODOMAIN FUSION MOLECULES AND USES THEREOF
FIELD OF THE INVENTION
The present invention relates to TGF-13 superfamily receptor ectodomain fusion molecules and uses thereof. More specifically, the present invention relates to TGF-13 superfamily receptor ectodomain fusion molecules and their use in TGF-13 superfamily ligand neutralization.
BACKGROUND OF THE INVENTION
TGF-13 is part of a superfamily of over 30 ligands that regulate several physiological processes, including cell proliferation, migration and differentiation. Perturbation of their levels and/or signaling gives rise to significant pathological effects. For instance, TGF-13 and activin ligands play critical pathogenic roles in many diseases including cancer (Hawinkels &
Ten Dijke, 2011;
Massague et al, 2000; Rodgarkia-Dara et al, 2006). TGF-13, in particular, is considered as a critical regulator of tumor progression and is overexpressed by most tumor types. It favors tumorigenesis in part by inducing an epithelial-mesenchymal transition (EMT) in the epithelial tumor cells, leading to aggressive metastasis (Thiery et al, 2009). TGF-13 also promotes tumorigenesis by acting as a powerful suppressor of the immune response in the tumor microenvironment (Li et al, 2006). In fact, TGF-13 is recognized as one of the most potent immunosuppressive factors present in the tumor microenvironment. TGF-13 interferes with the differentiation, proliferation and survival of many immune cell types, including dendritic cells, macrophages, NK cells, neutrophils, B-cells and T-cells; thus, it modulates both innate and adaptive immunity (Santarpia et al, 2015; Yang et al, 2010). The importance of TGF-beta in the tumor microenvironment is highlighted by evidence showing that, in several tumor types (including melanoma, lung, pancreatic, colorectal, hepatic and breast), elevated levels of TGF-p, ligand are correlated with disease progression and recurrence, metastasis, and mortality.
Hence, significant effort has been invested in devising anti-tumor therapeutic approaches that involve TGF-13 inhibition (Arteaga, 2006; Mourskaia et al, 2007; Wojtowicz-Praga, 2003).
One approach to developing therapeutic agents that inhibit TGF-13 function has been to use antibodies or soluble decoy receptors (also termed receptor ectodomain (ED)-based ligand traps) to bind and sequester ligand, thereby blocking access of ligand to its normal cell surface receptors (Zwaagstra et al, 2012). In general, receptor ED-based traps are a class of therapeutic agents that are able to sequester a wide range of ligands and that can be optimized using protein engineering approaches (Economides et al, 2003; Holash et al, 2002;
Jin et al, 2009).

2 Previously, a novel protein engineering design strategy was used to generate single-chain, bivalent traps that are able to potently neutralize members of the TGF-6 superfamily of ligands due to avidity effects (Zwaagstra et al, 2012) [WO 2008/113185; WO
2010/031168]. In this case, bivalency was achieved via covalent linkage of two T6RII ectodomains using portions of the intrinsically disordered regions (IDR) that flank the structured, ligand-binding domain of T6R1I-ED. One example of these single-chain bivalent traps, T22d35, exhibited neutralization potencies ¨100-fold higher than the monovalent non-engineered ectodomain, though it did not neutralize the TGF-62 isoform and had a relatively short circulating half-life.
While research to date indicates that single-chain TGF-6 traps have promising therapeutic potential, their circulating half-lives and manufacturability present challenges to the commercial application.
SUMMARY OF THE INVENTION
The present invention relates to TGF-6 superfamily receptor ectodomain fusion molecules and uses thereof. More specifically, the present invention relates to TGF-6 superfamily receptor ectodomain fusion molecules and their use in TGF-6 superfamily ligand neutralization.
In some aspects, the invention relates to TGF-6 superfamily receptor ectodomain-based polypeptides that are similar to typical Fc fusions in design, in that the ectodomain is fused to a dimeric antibody constant domain. In particular, with respect to the present polypeptides, the Fc portion occupies the N-terminal position. Fc fusions in the prior art typically provide the Fc portion at the C-terminal end of the fusion. As will be evident from the results presented herein, this difference in orientation provides a number of significant advantages.
In other aspects, the present polypeptides incorporate at least two TGF-6 superfamily receptor ectodomains that are linked in tandem to the C-terminus of an antibody constant domain.
Thus, there is provided a polypeptide construct comprising: a first portion comprising the second constant domain (CH2) and/or third constant domain (CH3) of an antibody heavy chain, and a second portion comprising at least two TGF-6 superfamily receptor ectodomains (T6SR-ED) linked in tandem; wherein the N-terminus of the second portion is linked to the C-terminus of the first portion.
There is also provided a polypeptide construct comprising: a first portion comprising the second constant domain (CH2) and/or third constant domain (CH3) of an antibody heavy chain, and a second portion comprising at least one TGF-6 superfamily receptor ectodomains

3 (TI3SR-ED), wherein the N-terminus of the second portion is linked to the C-terminus of the first portion, and further wherein the first portion does not further comprise an antibody that binds to an antigen that is PD-L1, EGFR1, Her-2, CD4, CD6, CD20, CD25, MUC-1, IL-2, IL-6, or CTLA-

4.
There is provided a polypeptide construct comprising: a first portion comprising the second constant domain (CH2) and/or third constant domain (CH3) of an antibody heavy chain, and a second portion comprising at least one TGF-I3 superfamily receptor ectodomain (TI3SR-ED), wherein the N-terminus of the second portion is directly fused to the C-terminus of the first portion.
In an embodiment, there is provided a polypeptide construct comprising a first portion comprising the second constant domain (CH2) and/or third constant domain (CH3) of an antibody heavy chain, and a second portion comprising at least one TGF-I3 superfamily receptor ectodomain (TI3SR-ED), wherein the N-terminus of the second portion is linked to the C-terminus of the first portion, and wherein the polypeptide construct neutralizes TGF- p, with at least 100-fold more potency than the TI3SR-ED alone.
In a preferred embodiment, the second portion comprises one, two, or multiple superfamily receptor ectodomain (TI3SR-ED). In a preferred embodiment, the TI3SR-ED is a TGF-I3 receptor type ll ectodomain (TI3R-11-ED). In a preferred embodiment, the TI3SR-ED
comprises a sequence selected from the group consisting of SEQ ID NO:35, SEQ
ID NO:69, SEQ ID NO:75, SEQ ID NO:81, and a sequence substantially identical thereto.
The second portion may comprise a sequence selected from the group consisting of SEQ ID
NO:43 - SEQ ID NO:51, SEQ ID NO:61 - SEQ ID NO:68, SEQ ID NO:73, SEQ ID NO:74, SEQ
ID NO:79, SEQ ID NO:80, SEQ ID NO:85, SEQ ID NO:86, SEQ ID NO:88, and a sequence substantially identical thereto.
In a preferred embodiment, the first portion of a polypeptide construct of the present invention further comprises a CHi, a CHi and VH, or CHi and scFv.
There is provided a polypeptide construct of the present invention wherein the antibody heavy chain is of human origin. In a preferred embodiment, the antibody heavy chain is selected from the group consisting of a human IgG1, IgG2, IgG3, or IgG4 heavy chain. More preferably, the antibody heavy chain is a human IgG1.
In accordance with the present invention, the polypeptide construct shows longer in vivo half-life compared to the half-life of the second portion alone.

There is provided a polypeptide construct of the present invention, wherein the polypeptide construct is a single chain polypeptide.
In an embodiment, the polypeptide construct forms a dimeric polypeptide. In another embodiment, the polypeptide construct is heterodimeric.
There is provided a polypeptide construct selected from the group consisting of any one of SEQ ID NO:91 to SEQ ID NO:120, and a sequence substantially identical thereto.
There is provided a polypeptide construct according to the present invention, wherein the construct comprises an antibody, antigen binding fragment thereof, or a targeting moiety. In a preferred embodiment, the antibody, the antigen binding fragment, or the targeting moiety is at the N-terminus of the first portion.
In a preferred embodiment, the antigen binding fragment may be selected from the group consisting of a Fv, scFv, Fab, or sdAb. In a preferred embodiment, the antigen binding fragment binds to any antigen, provided that it is not PD-L1, EGFR1, Her-2, CD4, CD6, CD20, CD25, MUC-1, IL-2, IL-6, or CTLA-4.
In a preferred embodiment, a polypeptide construct of the present invention comprises an antibody selected from the group consisting of Cetuximab, Avastin, Herceptin, Synagis, and FC5. In a preferred embodiment, the antibody is Cetuximab.
In a preferred embodiment, a polypeptide construct of the present invention comprises a targeting moiety, wherein the targeting moiety comprises a poly-aspartate sequence motif for bone targeting. In a preferred embodiment, the targeting moiety comprises D10.
There is provided a polypeptide construct according to the present invention wherein the construct is a dimeric polypeptide; wherein the dimeric polypeptide comprises:
a first single chain polypeptide comprising a first portion comprising the second constant domain (CH2) and third constant domain (CH3) of an antibody heavy chain, and a heavy chain variable region of a given antibody; a second portion comprising one or more TGF-I3 superfamily receptor ectodomains (TI3SR-ED), wherein the N-terminus of the second portion is linked to the C-terminus of the first portion, and a second single chain polypeptide comprising a first portion comprising the second constant domain (CH2) and third constant domain (CH3) of an antibody heavy chain, and a light chain variable region of said given antibody; a second portion comprising one or more TGF-I3 superfamily receptor ectodomain (TI3SR-ED) which is the same or different from the ectodomain(s) in the first polypeptide, wherein the N-terminus of the second portion is linked to the C-terminus of the first portion.

There is also provided a nucleic acid molecule encoding the polypeptide construct of the present invention. There is also provided a vector comprising the nucleic acid molecule of claim the present invention.
There is also provided a composition comprising one or more than one independently selected

5 polypeptide construct of the present invention and a pharmaceutically-acceptable carrier, diluent, or excipient.
There is also provided a transgenic cellular host comprising the nucleic acid molecule or a vector of the present invention. The transgenic cellular host further comprising a second nucleic acid molecule or a second vector encoding a second polypeptide construct different from the first polypeptide construct.
There is also provided the use of a polypeptide construct according to the present invention for treatment of a medical condition, disease or disorder; wherein the medi medical condition, disease or disorder comprises, but is not limited to, cancer, ocular diseases, fibrotic diseases, or genetic disorders of connective tissue.
In a preferred embodiment, there therefore provided a polypeptide construct comprising:
a first portion comprising the second constant domain (CH2) and/or third constant domain (CH3) of an antibody heavy chain, and a second portion comprising at least two TGF-I3 superfamily receptor ectodomains (TI3SR-ED), wherein the N-terminus of the second portion is linked to the C-terminus of the first portion.
The antibody constant domain can further comprise, either linked thereto or formed integrally therewith, a binding agent such as a full size antibody, a ligand or any other protein of interest.
In the alternative, the antibody constant domain comprises only the CH2 and/or CH3 regions, and not a full size antibody. In these and other types of constructs, the CH2 and/or CH3 region can be altered by deleting or substituting amino acids including one or more of the cysteines that provide cross-linking when the present constructs are provided as dimeric constructs.
In other aspects of the present invention, there is provided a polypeptide construct that incorporates one or more such ectodomains. When the constructs comprise only one ectodomain linked to the antibody constant domain, then the construct is further characterized

6 by at least one of the following: (1) when the constant domain further comprises a full sized antibody, that antibody does not bind effectively to PD-L1 or to an immunoregulatory antigen selected, (2) the constant domain comprises only the CH2 and/or CH3 regions, (3) the constant domain comprises an amino acid alteration relative to a wild type counterpart, such as a cysteine residue alteration; and (4) the first portion is linked to the second portion directly and without intervening amino acids.
In another of its aspects, the present invention provides a polypeptide construct comprising a first portion comprising the second constant domain (CH2) and/or third constant domain (CH3) of an antibody heavy chain, and a second portion comprising at least one TGF-I3 superfamily receptor ectodomain (TI3SR-ED), wherein the N-terminus of the second portion is linked to the C-terminus of the first portion. These polypeptide constructs can neutralize TGF-I3, and with at least 100-fold more potency than the TI3SR-ED alone.
The second portion of the polypeptide construct of the present invention may comprise one or two or more TI3SR-ED. In a preferred embodiment the construct comprises two or more independently selected ectodomains linked in tandem and to the C-terminus of the constant domain. The TI3SR-ED may be selected from the group consisting of a TGF-I3 receptor type ll ectodomain (TI3R1I-ED), a bone morphogenetic protein receptor type la ectodomain (BMPR-ED), an activin receptor type Ila ectodomain (ActRIla-ED), and an activin receptor type Ilb ectodomain (ActRIlb-ED). In another preferred embodiment, the ectodomain is a ectodomain.
In the polypeptide construct described herein, the first portion further may comprise a CHi, a CHi and VH, or a CHi and scFv. It may constitute an Fc region, an antibody, or any ligand binding agent or moiety.
The polypeptide construct of the present invention may comprise a CH2 and CH3 from an antibody heavy chain that is of human or mouse origin. For example, and without wishing to be limiting, the antibody heavy chain may be selected from the group consisting of a human IgG1, IgG2, IgG3, or IgG4 heavy chain. In embodiments, the constant domain in the constructs is CH2 per se, or CH3 per se or CH2-CH3.

7 The polypeptide construct described herein may show longer in vivo half-life compared to the half-life of TI3SR-ED alone.
In one example, the polypeptide construct of the present invention may be a single chain polypeptide. The polypeptide construct as described herein may also form a dimeric polypeptide. This dimeric polypeptide may be heterodimeric.
The present invention further provides a polypeptide construct comprising a first portion comprising the second constant domain (CH2) and/or third constant domain (CH3) of an antibody heavy chain, and a second portion comprising at least one TGF-I3 superfamily receptor ectodomain (TI3SR-ED), wherein the N-terminus of the second portion is linked to the C-terminus of the first portion;
additionally, in the construct as just described, the first portion is not derived from certain antibodies discussed infra.
The present invention also provides a polypeptide construct, comprising:
a first single chain polypeptide comprising a first portion comprising the second constant domain (CH2) and/or third constant domain (CH3) of an antibody heavy chain, and a heavy chain variable region of a given antibody; and a second portion comprising one or more TGF-I3 superfamily receptor ectodomains (TI3SR-ED), wherein the N-terminus of the second portion is linked to the C-terminus of the first portion, and a second single chain polypeptide comprising a first portion comprising the second constant domain (CH2) and/or third constant domain (CH3) of an antibody heavy chain, and a light chain variable region of said given antibody; and a second portion comprising one or more TGF-I3 superfamily receptor ectodomain (TI3SR-ED) which is the same or different from the ectodomain(s) in the first polypeptide, wherein the N-terminus of the second portion is linked to the C-terminus of the first portion.
In alternative constructs of the present invention, the polypeptide construct comprises an antibody Fc fragment linked at the C-terminus of each heavy chain to at least one TGF-I3 superfamily receptor ectodomain (TI3SR-ED), as described above. In embodiments the receptor ectodomain portion comprises two independently selected ectodomains that are

8 linked in tandem, i.e., in a linear manner. In some embodiments, the ectodomains are the same in sequence, or least the same with respect to their target ligand. The construct may further comprise a binding fragment or moiety at the N-terminus of the Fc; the binding fragment may be selected from the group consisting of a Fv, scFv, Fab, or sdAb, or any other binding moiety such as a motif for bone targeting, also as described above. In the polypeptide constructs as described above, the TGF-I3 receptor ectodomain does not interfere in the native function or specificity of the binding fragment.
The present invention also provides a nucleic acid molecule encoding the polypeptide constructs as described herein. A vector comprising the nucleic acid molecule just described is also encompassed by the invention. The invention also includes a transgenic cellular host comprising the nucleic acid molecule or a vector as described herein; the cellular host may further include a second nucleic acid molecule or a second vector encoding a second polypeptide construct different from the first polypeptide construct. Systems used to produce the present polypeptides can be secretion systems, particularly in the case where dimerization through disulfide bridges is required, and the expression polynucleotides thus encode secretion signals that are cleaved by the host upon secretion into the culturing medium.
Compositions comprising one or more than one independently selected polypeptide construct described herein and a pharmaceutically-acceptable carrier, diluent, or excipient are also encompassed by the present invention.
Additional aspects and advantages of the present invention will be apparent in view of the following description. The detailed descriptions and examples, while indicating preferred embodiments of the invention, are given by way of illustration only, as various changes and modifications within the scope of the invention will become apparent to those skilled in the art in light of the teachings of this invention.
BRIEF DESCRIPTION OF THE DRAWINGS
These and other features of the invention will now be described by way of example, with reference to the appended drawings, wherein:
FIGURE 1A is a schematic diagram showing TGF-I3 Type ll receptor ectodomain (TI3R1I-ED)-based molecules T2m and T22d35 along with their sequences (SEQ ID NO:43 and 46, respectively). Natural linker sequences (SEQ ID NO:36, 39 and 40) are underlined and depicted as dark grey lines; the sequence of the TI3R-II-ED structured domain (SEQ ID NO:35) is shown in bold, and the domain labeled and depicted in dark grey; the site of the fusion of

9 natural linkers is depicted by a slash. FIGURES 1B-D are schematic diagrams of IgG Fc-based scaffolds: an IgG Fc region (FIGURE 1B), a VHH-IgG Fc (comprising a VHH single domain antibody fused to the N-terminus of an Fc region; FIGURE 1C), and a full-size antibody (FIGURE 1D).
FIGURE 2 is a schematic representation of TGF-I3 superfamily receptor-ectodomain-based fusion constructs of the present invention. (A) represents constructs in which T22d35 (dark grey) is fused to the C-terminus of IgG Fc regions (IgG isoforms 1, 2, 3 or 4) with no Fab or other functional binding moiety at the N-terminus (Fc-T22d35, A), (D) represents constructs in which T22d35 (dark grey) is fused to the C-terminus of the IgG Fc region of full-size antibodies with heavy and light chain Fabs (FSA-T22d35, D), (E) represents constructs in which T22d35 (dark grey) is fused to the C-terminus of IgG Fc regions that have a non-Fab binding/localization moiety at the N-terminus, such as the variable region of a camelid VHH
antibody (VHH-Fc-T22d35) or a deca-aspartate motif for bone targeting (Dl 0-Fc-T22d35).
Similarly, (B), (C) and (F) and (G) represent constructs in which T2m (the TGF-I3 Type ll receptor ectodomain, TI3R1I-ED - dark grey) is fused at the N-terminus of an IgG Fc (T2m-Fc, B) or the C-terminus of IgG Fc regions with no Fab or other functional binding moiety at the N-terminus (Fc-T2m, C), or the C-terminus of full-size antibodies with heavy and light chain Fabs (FSA-T2m, F), or the C-terminus of IgG Fc regions that have a non-Fab binding/localization moiety at the N-terminus, such as the variable region of a camelid VHH
antibody (VHH-Fc-T2m, G) or a deca-aspartate motif for bone targeting (D10-Fc-T2m).
FIGURE 3 presents (ProtA)-affinity column elution profiles, size exclusion (SEC) purification profiles, SDS-PAGE gels, and UPLC-SEC profiles of representatives of constructs type C and D in Figure 2. Figure 3A is a (ProtA)-affinity column elution profile for T22d35 fused to the Cetuximab FSA (Cet-T22d35 ¨ a representative of construct D in Figure 2).
FIGURE 3B is the size exclusion (SEC) purification profile of the Cet-T22d35. FIGURE 3C show 4-15% SDS-PAGE gels of ProtA-purified Cet-T22d35 under reducing (left panel) and non-reducing (right panel) conditions (CetHC-T22d35, Cetuximab heavy chain fused to T22d35; CetLC, Cetuximab light chain). Lanes 1 are the pooled Prot-A eluted fractions, while lanes 2 are the pooled SEC fractions. FIGURE 3D shows the UPLC-SEC profile of ProtA-purified Cet-T22d35.
Figure 3E shows the (ProtA)-affinity column elution profile for hIgG1FcAK(C)-T2m (a construct with T2m fused to an Fc region with no functional binding moiety at the N-terminus; a representative of construct D in Figure 2). Figure 3F, G, H show the UPLC-SEC
profile before SEC (F), the UPLC-SEC profile after SEC (G) and the SDS-PAGE (NR & R) (H) of hIgG1FcAK(C)-T2m.

FIGURE 4A shows graphs depicting the efficient inhibition of TGF-81 (top panel), TGF-83 (middle panel) and TGF-82 (bottom panel) signaling in Mv1Lu luciferase reporter cells by Cet-T2m (a representative of construct F in Figure 2) and Cet-T22d35 (a representative of construct D in Figure 2), compared to the significantly lower inhibition potency of non-Fc-fused 5 T22d35.
FIGURE 4B shows graphs and a summary table depicting the efficient inhibition of TGF-81 signaling in an A549/IL-11 cell-based assay by several representatives of FSA-T22d35 constructs (Type D construct from Figure 2), compared to the lower inhibition potency of Fc-T2m (Type C construct) and non-Fc-fused T22d35.

10 FIGURE 4C shows graphs and a summary table depicting the efficient inhibition of TGF-81 signaling in an A549/IL-11 release cell-based assay by several representatives of "headless"-T2m constructs (Type C construct from Figure 2), compared to the lower inhibition potency of non-Fc-fused T22d35.
FIGURE 4D is a graph showing competitive SPR analysis of binding of Cetuximab-fusion constructs to TGF-8 isoforms in solution, compared to T22d35.
FIGURE 5A is a SDS-PAGE gel showing the inhibition of EGFR phosphorylation in A549 cells by Cetuximab-fusion constructs. FIGURE 5B is a graph showing Cet-T22d35 (triangles) cytotoxicity in MDA-MB-468 and HaCat cells compared to Cetuximab (circles) and T22d35 (squares).
FIGURE 6 is a bar graph showing the apparent permeability coefficient (Papp) values, as a measure of transport of FC5-Fc, FC5-Fc-fusion constructs, T22d35, and T2m across a human brain endothelial cell barrier in vitro, relative to a non-transporting VHH
control (A20.1).
FIGURE 7 demonstrates the Cet-T22d35 inhibition of EGF+TGF-81 induced EMT in cells. FIGURE 7A shows pictures of cultured A549 cells showing their morphologies before treatment (left panel A) and after treatment with EGF+TGF-81 (right panel B).

shows a western blot of whole cell lysates of A549 cells treated with EGF+TGF-81 in the presence or absence of various concentrations of Cetuximab (Cetux), Cet-T22d35 or T22d35, probed for the epithelial marker E-Cadherin, while FIGURE 7C is the densitometer quantification of the E-cadherin bands in the Western blot. Results show that Cet-T22d35 is much more potent than T22d35 alone or Cetuximab alone in upregulating E-cadherin, i.e.
blocking EMT. FIGURE 7D shows the inhibition of EGF+TGF-8-induced EMT by Cetuximab (Cetux), Cet-T22d35, T22d35 or Cet-T22d35 plus T22d35 as measured by flow cytometry

11 detection of the epithelial E-Cadherin (top panel) and mesenchymal N-Cadherin (bottom panel) markers.
FIGURE 8A represents the pharmacokinetic (PK) profile of Cet-T22d35 in the serum collected from BALB/C mice that were injected with a single dose of Cet-T22d35. The fusion construct appears to be cleaved in vivo; the terminal half-life of the T22d35 potion of the construct was determined to be 45.8 hours, while the terminal half-life of the Cetuximab portion of the construct was determined to be 262.5 hours. FIGURE 8B represents the PK
profiles and data table (serum half-lives in bold) for constructs in which the lysine at the C-terminus of the Fc region was removed, i.e. is not present at the fusion joint between the Fc region and T2m (CetAK-T2m, hIgG1FcAK(SS)-T2m, h IgG1FcAK(AC)-T2m, and hIg2GFcAK(SS)-T2m). The data demonstrate that the removal of the lysine prevents cleavage of the constructs in vivo.
FIGURE 9A, 9B and 9C present graphs showing the effect of "headless" Fc-T2m constructs (representatives of construct C in FIGURE 2) and a FSA-T2m construct (a representative of construct F in FIGURE 2) on tumor growth and T-cell function in an immune-competent syngeneic triple negative breast cancer (4T1) model (for comparison, the effects of the 1D11 antibody and non-Fc-fused T22d35 are also shown). The results demonstrate the improved efficacy on T-cell function of two headless-T2m constructs relative to the FSA-T2m construct, and relative to 1D11 and non-Fc-fused T22d35.
FIGURE 10 shows data illustrating enhanced bone localization of two constructs containing a deca-aspartate motif for bone targeting at the N-terminus of the Fc region (D10-hIgG1FcAK(CC)-T2m (SEQ ID NO:136) and D10-GSL-hIgG1FcAK(CC)-T2m (SEQ ID
NO:137) - representatives of construct G in FIGURE 2). FIGURE 10A and B show results from an A549/IL-11 release cell-based assay demonstrating that the addition of D10 at the N-terminus did not affect TGF-I3 neutralization potency. FIGURE 10 C and D show images demonstrating significant enhancement of the accumulation of the D10-containing constructs in bones relative to a construct without D10.
DETAILED DESCRIPTION OF THE INVENTION
The present invention relates to TGF-I3 superfamily receptor ectodomain fusion molecules and uses thereof. More specifically, the present invention relates to TGF-I3 superfamily receptor ectodomain fusion molecules and their use in TGF-I3 superfamily ligand neutralization.
The present invention provides polypeptide constructs, comprising

12 a first portion comprising the second constant domain (CH2) and/or third constant domain (CH3) of an antibody heavy chain, and a second portion comprising at least one TGF-I3 superfamily receptor ectodomain (TI3SR-ED), wherein the N-terminus of the second portion (ectodomain) is linked to the C-terminus of the first portion (Fc region), and wherein the polypeptide construct neutralizes TGF- p, with at least 100-fold more potency than the TI3SR-ED alone. The polypeptide construct referred to herein is a synthetic polypeptide produced via protein engineering. It comprises two protein "portions"
(or "parts") that are linked to form the chimeric polypeptide construct. When the polypeptide construct is expressed, two polypeptide chains dimerize, such that the CH2 and CH3 domains form an antibody Fc region.
In specific embodiments of the present invention, descriptions of which are elaborated further herein, there are provided polypeptide constructs in which TGF-I3 superfamily receptor-ectodomains were fused to IgG Fc regions. Specifically, the T2m (single ectodomain) or T22d35 (double ectodomain) moieties were linked (fused) to the C-terminal end of the Fc region. It was observed that fusion constructs of this type have advantages relative to several other versions of receptor-ectodomain based molecules, including non-Fc fused monovalent or multivalent TGF-I3 receptor ectodomain constructs (such as T2m and T22d35) and constructs in which a receptor ectodomain is fused to the N-terminus of an Fc region. In particular, the constructs have improved manufacturability due to the presence of the Fc region (for example, purification can be accomplished using protein A chromatography). The Fc region also allows for improved circulating half-lives. Importantly, the present constructs have substantially higher TGF-I3 neutralization potencies compared to T2m and T22d35 alone or to constructs where a receptor ectodomain is fused to the N-terminus of an Fc region. Thus, an advantage of the present invention is unexpected high potency TGF-I3 superfamily ligand neutralization, including some degree of neutralization of TGF-I32, which was not observed for the non-Fc fused constructs T2m and T22d35. Finally, constructs in accordance with embodiments of the present invention, that is where the ectodomain(s) is/are fused to the C-terminus of an Fc region of an antibody, allows for preservation of the structure and function of the natural N-terminal regions/domains of an antibody; as such, antigen binding to the antibody CDR regions is not perturbed. This leads to the generation of a bifunctional construct able to interact with the target of the antibody while interacting with, and neutralizing, members of the TGF-I3 superfamily of ligands.

13 The invention relates not only to bifunctional constructs, but also to constructs that are monofunctional, and comprise an Fc region that consists only of the CH2 and/or CH3 regions of an antibody constant region. Preferably, the G1, G2 or G4 subclasses are used, and particularly G1 as well as G2. These constructs are monofunctional in the sense that the constant region itself has no particular activity, other than to act as a structure through which dimers of the polypeptide constructs can form. These minimal constant regions can also be altered to provide some benefit, by incorporating the corresponding hinge regions (SEQ ID
NO:5-8) and optionally changing the cysteine residue composition. Thus, some or all of the cysteine residues involved in bridging the two Fc fragments or naturally used to bridge between the heavy and light chains of a full-length antibody can be replaced or deleted. These cysteine residues are seen in hinge sequences listed in SEQ ID NO:5-8. First, not all of the naturally-occurring inter-hinge disulfide bonds need to be formed for the Fc homodimerization to occur, while noting that the stability of the Fc homodimer may depend on the number of intermolecular disulphide bridges. Secondly and perhaps more importantly, the presence of hinge-region cysteine residues may become problematic when the Fc region lacks its N-terminal Fab fragment (i.e., is a headless Fe) as in the case of some polypeptide constructs of the present invention. This leads to untethering and exposure of these hinge-region cysteines, and in turn that may result in complex mixtures of high-order polymeric chains, which creates manufacturability issues in addition to potentially diminishing the intended biological activity and efficacy. Because it is practically impossible to predict the outcome of varying the number of inter-hinge disulphide bridges for the "headless" polypeptide constructs of the present invention, we generated a systematic array of N-terminal Fc variants for all four human IgG
isotypes either by a deletion approach (in which hinge-region cysteine residues are progressively eliminated by N-terminal truncations) or by a mutagenesis approach (in which hinge-region cysteine residues are progressively mutated to serine from the N-terminus of the hinge region). Non-limiting examples of such N-terminal variants of headless Fc regions are listed in SEQ ID NO:9-34.
In the present disclosure, an "antibody", also referred to in the art as "immunoglobulin" (Ig), refers to a protein constructed from paired heavy and light polypeptide chains; various Ig isotypes exist, including IgA, IgD, IgE, IgG, and IgM. The structure of an antibody and of each of the domains is well-established and familiar to those of skill in the art, though is summarized herein. When an antibody is correctly folded, each chain folds into a number of distinct globular domains joined by more linear polypeptide sequences; the immunoglobulin light chain folds into a variable (VL) and a constant (CL) domain, while the heavy chain folds into a variable (VH) and three constant (CH, CH2, CH3) domains. Once paired, interaction of the heavy and light chain variable domains (VH and VL) and first constant domain (CL and CHO
results in the

14 formation of a Fab (Fragment, antigen-binding) containing the binding region (Fv); interaction of two heavy chains results in pairing of CH2 and CH3 domains, leading to the formation of a Fc (Fragment, crystallisable). Characteristics described herein for the CH2 and CH3 domains also apply to the Fc.
While the light and heavy chain variable regions show significant sequence diversity between antibodies, the constant regions show less sequence diversity and are responsible for binding a number of natural proteins to elicit important biochemical events.
Specifically, and without wishing to be limiting, the Fc fragment binds to endogenous Fc receptors on the surface of lymphocytes.
The CH2 and CH3 domains of the first portion may be of any isotype, including one selected from the group consisting of IgA, IgD, IgE, and IgG. The CH2 and CH3 domains may also be from any suitable source. For example and without wishing to be limiting, the CH2 and CH3 domains may originate from a human, mouse and other rodents like rats and degu, rabbit, monkey, or other mammalian source. In one example, the CH2 and CH3 domains may be of the IgG isotype; in another example, the CH2 and CH3 domains are from human.
In a specific, non-limiting example, the CH2 and CH3 domains of the first portion may be of an isotype or comprise a sequence selected from the group consisting of:
a human IgG1, for example but not limited to SEQ ID NO:1 (APELLGGPSVFLFPPKPKDTLMISRTPEVTCVVVDVSHEDPEVKFNWYVDGVEVHNA
KTKPREEQYNSTYRVVSVLTVLHQDWLNGKEYKCKVSNKALPAPIEKTISKAKGQPRE
PQVYTLPPSRDELTKNQVSLTCLVKGFYPSDIAVEWESNGQPENNYKTTPPVLDSDG
SFFLYSKLTVDKSRWQQGNVFSCSVMHEALHNHYTQKSLSLSPGK) as comprised in P01857 of the UniProtKB/Swiss-Prot database;
a human IgG2, for example but not limited to SEQ ID NO:2 (APPVAGPSVFLFPPKPKDTLMISRTPEVTCVVVDVSHEDPEVQFNWYVDGVEVHNAK
TKPREEQFNSTFRVVSVLTVVHQDWLNGKEYKCKVSNKGLPAPIEKTISKTKGQPREP
QVYTLPPSREEMTKNQVSLTCLVKGFYPSDISVEWESNGQPENNYKTTPPMLDSDGS
FFLYSKLTVDKSRWQQGNVFSCSVMHEALHNHYTQKSLSLSPGK), as comprised in P01859 of the UniProtKB/Swiss-Prot database;
a human IgG3, for example but not limited to SEQ ID NO:3 (APELLGGPSVFLFPPKPKDTLMISRTPEVTCVVVDVSHEDPEVQFKWYVDGVEVHNA
KTKPREEQYNSTFRVVSVLTVLHQDWLNGKEYKCKVSNKALPAPIEKTISKTKGQPRE
PQVYTLPPSREEMTKNQVSLTCLVKGFYPSDIAVEWESSGQPENNYNTTPPMLDSDG

SFFLYSKLTVDKSRWQQGNIFSCSVMHEALHNRFTQKSLSLSPGK), as comprised in P01860 of the UniProtKB/Swiss-Prot database;
a human IgG4, for example but not limited to SEQ ID NO:4 (APEFLGGPSVFLFPPKPKDTLMISRTPEVTCVVVDVSQEDPEVQFNWYVDGVEVHNA

KTKPREEQFNSTYRVVSVLTVLHQDWLNGKEYKCKVSNKGLPSSIEKTISKAKGQPRE
PQVYTLPPSQEEMTKNQVSLTCLVKGFYPSDIAVEWESNGQPENNYKTTPPVLDSDG
SFFLYSRLTVDKSRWQEGNVFSCSVMHEALHNHYTQKSLSLSLGK), as comprised in P01861 of the UniProtKB/Swiss-Prot database; and a sequence substantially identical to any of the sequences listed above.
10 In the protein constructs of the present invention, the first portion may further comprise a sequence corresponding to the hinge region at the N-terminus of the CH2 domain. For example, the first portion may further comprise a sequence selected from the group consisting of:
EPKSCDKTHTCPPCP (SEQ ID NO:5) for human IgG1;
ERKCCVECPPCP (SEQ ID NO:6) for human IgG2;

15 ELKTPLGDTTHTCPRCPEPKSCDTPPPCPRCPEPKSCDTPPPCPRCPEPKSCDTPPP
CPRCP (SEQ ID NO:7) for human IgG3;
ESKYGPPCPSCP (SEQ ID NO:8) for human IgG4;
and a sequence substantially identical to any of the sequences listed above.
Thus, the first portion of the polypeptide construct of the present invention consists of naturally fused Fc and hinge regions for the various IgG isoforms and in embodiments is selected from the group consisting of SEQ ID NO:1-4 for the Fc region and SEQ ID NO:5-8 for the hinge region.
In specific embodiments, the first portion of the polypeptide construct of the present invention is selected from a group of sequences displaying variation in the N-terminal sequence as exemplified by SEQ ID NO:9-34. These differ in the number of cysteine residues retained from the hinge region as a means to modulating the degree of Fc-region dimerization and hence impacting on both efficacy and manufacturability. Thus, in embodiments, the polypeptide construct comprises a variation in the constant domain, wherein at least one cysteine residue involved in cross-linking is deleted or substituted. Suitable substitutions include serine or alanine, and preferably by serine. A substantially identical sequence may comprise one or

16 more conservative amino acid mutations that still provide for proper folding upon secretion into the culturing medium. It is known in the art that one or more conservative amino acid mutations to a reference sequence may yield a mutant peptide with no substantial change in physiological, chemical, physico-chemical or functional properties compared to the reference sequence; in such a case, the reference and mutant sequences would be considered "substantially identical" polypeptides. A conservative amino acid substitution is defined herein as the substitution of an amino acid residue for another amino acid residue with similar chemical properties (e.g. size, charge, or polarity). These conservative amino acid mutations may be made to the framework regions while maintaining the overall structure of the constant domains; thus the function of the Fc is maintained.
In a non-limiting example, a conservative mutation may be an amino acid substitution. Such a conservative amino acid substitution may substitute a basic, neutral, hydrophobic, or acidic amino acid for another of the same group. By the term "basic amino acid" it is meant hydrophilic amino acids having a side chain pK value of greater than 7, which are typically positively charged at physiological pH. Basic amino acids include histidine (His or H), arginine (Arg or R), and lysine (Lys or K). By the term "neutral amino acid" (also "polar amino acid"), it is meant hydrophilic amino acids having a side chain that is uncharged at physiological pH, but which has at least one bond in which the pair of electrons shared in common by two atoms is held more closely by one of the atoms. Polar amino acids include serine (Ser or S), threonine (Thr or T), cysteine (Cys or C), tyrosine (Tyr or Y), asparagine (Asn or N), and glutamine (Gin or Q). The term "hydrophobic amino acid" (also "non-polar amino acid") is meant to include amino acids exhibiting a hydrophobicity of greater than zero according to the normalized consensus hydrophobicity scale of (Eisenberg et al, 1984). Hydrophobic amino acids include proline (Pro or P), isoleucine (Ile or 0, phenylalanine (Phe or F), valine (Val or V), leucine (Leu or L), tryptophan (Trp or VV), methionine (Met or M), alanine (Ala or A), and glycine (Gly or G).
"Acidic amino acid" refers to hydrophilic amino acids having a side chain pK
value of less than 7, which are typically negatively charged at physiological pH. Acidic amino acids include glutamate (Glu or E), and aspartate (Asp or D).
In another non-limiting example, a conservative mutation in the CH2 and/or CH3 domain may be a substitution that enhances a property selected from the group consisting of the stability, half-life, or Fc properties of CH2 and/or CH3 domains or alter glycosylation of the CH2 and/or CH3 domain. For example, and without wishing to be limiting in any manner, the mutation may be an alteration at position 228 (EU numbering, 241 according to Kabat) where the serine is substituted by a proline (5228P), which stabilizes the disulfide linkage within the Fc dimer.
Another alteration is the mutation at position 409 (EU numbering, 440 according to Kabat)

17 where an arginine is substituted to a lysine for further stabilization of the Fc homodimer at the CH3-domain level (Yang & Ambrogelly, 2014). Yet another alteration within the CH2 and/or CH3 domain may be a substitution of Asn297 (EU numbering, 314 according to Kabat) by glycine or alanine to alter glycosylation of the constant domain. In yet another example, the CH2 and/or CH domain may be altered by substitution of one or more threonine (T252L, T253S, and/or T256F; see [US62777375]) to increase half-life. Particularly useful are those alterations that enhance Fc properties while remaining silent with respect to conformation, e.g., retaining Fc receptor binding.
In yet another non-limiting example, the conservative mutations in the CH2 and/or CH3 domain may be a substitution that is naturally-occurring. Such mutations may occur in nature as minor sequence differences between species or race.
Sequence identity is used to evaluate the similarity of two sequences; it is determined by calculating the percent of residues that are the same when the two sequences are aligned for maximum correspondence between residue positions. Any known method may be used to calculate sequence identity; for example, computer software is available to calculate sequence identity. Without wishing to be limiting, sequence identity can be calculated by software such as NCB! BLAST2 service maintained by the Swiss Institute of Bioinformatics (and as found at ca.expasy.org/tools/blast/), or any other appropriate software that is known in the art.
The substantially identical sequences of the present invention may be at least 90% identical; in another example, the substantially identical sequences may have an identity selected from the group consisting of at least 90, 91, 92, 93, 94, 95, 96, 97, 98, 99, or 100%
identical, or any percentage there between, at the amino acid level to sequences described herein. Importantly, the substantially identical sequences retain the activity, specificity, and functionality of the reference sequence. In a non-limiting embodiment, the difference in sequence identity may be due to conservative amino acid mutation(s). In a non-limiting example, the first portion of the polypeptide construct of the present invention may comprise a Fc comprising a sequence selected from the group consisting of a sequence at least 95%, 98% or 99%
identical to that of the Fc described herein.
Accordingly, it will be appreciated that the first portion of a construct will include at least an antibody region that preferably provides for cross-linking of the polypeptide constructs, thereby to provide a dimeric protein. This first portion comprises at least the minimal CH2 and/or CH3 domain. That portion can be altered (i) by substituting or deleting cysteine residues from the hinge regions (SEQ ID NO:5-8) involved in crosslinking between the antibody heavy chains or between the heavy and light chains in order to potentially improve preparation homogeneity

18 and efficacy, and/or (ii) by deleting or suitably replacing (e.g., by mutation to alanine) the terminal lysine residue 447 (EU numbering, 478 according to Kabat) of an IgG
heavy chain in order to improve chemical stability of C-terminal fusions to enzymatic proteolysis (e.g., by several serine proteases and typically by trypsin). These changes have a positive impact on potency and/or manufacturability, as revealed herein. The first portion can also be extended to become a full Fc region, by including the CH1 domain. As a full Fc, this portion will provide normal Fc effector functions that include involvement in immune cell recruitment, ADCC, CDC
and other antibody functions. Moreover, and in embodiments of the present invention, the first portion can include a complete antibody or any equivalent thereof. In certain embodiments, such as when a construct comprises just one ectodomain that is a TGF-I3 receptor 11 ectodomain, there is the proviso that the second portion is not an antibody that binds to an immune checkpoint protein such as PD-L1 (programmed death ligand 1) and is not an antibody that binds to an immunomodulating agent that counteracts immune tolerance of cancer cells, the nature and identity of which is as described in [US8815247], and is not an antibody that binds one of EGFR1, her-2, CD4, CD6, CD20, CD25, MUC-1, IL-2, IL-6, and CTLA-4.
The second portion of the polypeptide construct of the present invention comprises at least one and preferably two TGF-I3 superfamily receptor ectodomairils (TI3SR-ED);
for example, the second portion may comprise one or two TI3SR-ED. The ectodomain of the Transforming Growth Factor-I3 superfamily receptor (TI3SR) is the N-terminal extracellular, ligand-binding portion of the receptor. Without wishing to be limiting in any manner, the TI3SR ectodomain may bind a molecule selected from the group consisting of TGF-I3, bone morphogenetic protein (BMP) including BMP2, BMP3, BMP4, BMP5, BMP, BMP6, BMP7, BMP8, BMP9, BMP10, BMP11, BMP12, BMP13, BMP14, an BMP15, activin including activins 13A, I3B and 13C, growth differentiation factor (GDF-1) including GDF-3, GDF-8, GDF-9, and GDF-15, nodal, inhibin-a, anti-Mullerian hormone, Lefty-1, Lefty-2, arteman, persephin, neurturin, myostatin, or other known TGF-I3 superfamily ligands. For example, the TI3R ectodomain may be selected from the group consisting of the human TGF-I3 receptor type 11 ectodomain (TI3R-II-ED), the human TGF-I3 receptor type Ilb (TI3R-1Ib) ectodomain, the human activin receptor type Ila (ActR-1Ia) ectodomain, the human activin receptor type Ilb (ActR-1Ib) ectodomain, or the BMP type la (BMPR-1a) ectodomain.
In a preferred embodiment the ectodomain binds TGF-I31 and/or TGF-I33. In another preferred embodiment, the ectodomain itself is a human TGF-I3 receptor type 11 ectodomain including particularly the TGF-I3 receptor type Ila (TI3R11a). In one specific, non-limiting example, the TI3SR-ED is the TGF-I3 receptor type 11 ectodomain (TI3R1I-ED; SEQ ID NO:35).

19 In the second portion as described above, the T6SR ectodomain-based portion may further comprise natural linkers. Appropriate, naturally-derived linkers that can be used to fuse two ectodomains head-to-tail are known to those of skill in the art; for example, and without wishing to be limiting, suitable natural linkers are described in [W02008/113185].
In this embodiment, the natural linker, if present, may be selected from the group consisting of IPPHVQKSVNNDMIVTDNNGAVKFP (SEQ ID NO:36);
IPPHVQKSDVEMEAQKDEIICPSCNRTAHPLRHINNDMIVTDNNGAVKFP (SEQ ID
NO:37);
SEEYNTSNPD (SEQ ID NO:39);
SEEYNTSNPDIPPHVQKSVNNDMIVTDNNGAVKFP (SEQ ID NO:40);
SEEYNTSNPDIPPHVQKSDVEMEAQKDEIICPSCNRTAHPLRHINNDMIVTDNNGAVK
FP (SEQ ID NO:41); and a combination thereof.
In a specific, non-limiting example, the second portion of the polypeptide construct of the present invention may comprise the sequence selected from the group consisting of:
A single TGF-6 Type II receptor ectodomain, such as:
IPPHVQKSVNNDMIVTDNNGAVKFPQLCKFCDVRFSTCDNQKSCMSNCSITSICEKPQ
EVCVAVWRKNDENITLETVCHDPKLPYHDFILEDAASPKCIMKEKKKPGETFFMCSCS
SDECNDNIIFSEEYNTSNPD (SEQ ID NO:43, also referred to herein as T2m);
IPPHVQKSDVEMEAQKDEIICPSCNRTAHPLRHINNDMIVTDNNGAVKFPQLCKFCDV
RFSTCDNQKSCMSNCSITSICEKPQEVCVAVWRKNDENITLETVCHDPKLPYHDFILE
DAASPKCIMKEKKKPGETFFMCSCSSDECNDNIIFSEEYNTSNPD (SEQ ID NO:44);
A TGF-6 Type ll receptor ectodomain "doublet", in which a TGF-6 Type ll receptor ectodomain is linked with another TGF-6 Type ll receptor ectodomain, which ectodomains can be the same or different TGF-6 superfamily receptor ectodomains, such as:
IPPHVQKSVNNDMIVTDNNGAVKFPQLCKFCDVRFSTCDNQKSCMSNCSITSICEKPQ
EVCVAVWRKNDENITLETVCHDPKLPYHDFILEDAASPKCIMKEKKKPGETFFMCSCS
SDECNDNIIFSEEYNTSNPDIPPHVQKSVNNDMIVTDNNGAVKFPQLCKFCDVRFSTC
DNQKSCMSNCSITSICEKPQEVCVAVWRKNDENITLETVCHDPKLPYHDFILEDAASP

KCIMKEKKKPGETFFMCSCSSDECNDNIIFSEEYNTSNPD (SEQ ID NO:46, also referred to herein as T22d35);
IPPHVQKSDVEMEAQKDEIICPSCNRTAHPLRHINNDMIVTDNNGAVKFPQLCKFCDV
RFSTCDNQKSCMSNCSITSICEKPQEVCVAVWRKNDENITLETVCHDPKLPYHDFILE

DAASPKCIMKEKKKPGETFFMCSCSSDECNDNIIFSEEYNTSNPDIPPHVQKSDVEME
AQKDEIICPSCNRTAHPLRHINNDMIVTDNNGAVKFPQLCKFCDVRFSTCDNQKSCMS
NCSITSICEKPQEVCVAVWRKNDENITLETVCHDPKLPYHDFILEDAASPKCIMKEKKK
PGETFFMCSCSSDECNDNIIFSEEYNTSNPD (SEQ ID NO:47); and a sequence substantially identical thereto. "Substantially identical" is as defined above.
10 In another specific, non-limiting example, the TGF-I3 receptor ectodomain is the bone morphogenetic protein receptor la (BMPRIa; SEQ ID NO:69). In this embodiment, the natural linker, if present, may be selected from the group consisting of QNLDSMLHGTGMKSDSDQKKSENGVTLAPED (SEQ ID NO:70);
PVVIGPFFDGSIR (SEQ ID NO:71);

PVVIGPFFDGSIRQNLDSMLHGTGMKSDSDQKKSENGVTLAPED (SEQ ID NO:72);
and a combination thereof.
Thus, in a specific, non-limiting example, the second portion of the polypeptide construct of the present invention may comprise the sequence selected from the group consisting of:

20 QNLDSMLHGTGMKSDSDQKKSENGVTLAPEDTLPFLKCYCSGHCPDDAINNTCITNGHCFAII
EEDDQGETTLASGCMKYEGSDFQCKDSPKAQLRRTIECCRTNLCNQYLQPTLPPVVIGPFFD
GSIRQNLDSMLHGTGMKSDSDQKKSENGVTLAPEDTLPFLKCYCSGHCPDDAINNTCITNGH
CFAIIEEDDQGETTLASGCMKYEGSDFQCKDSPKAQLRRTIECCRTNLCNQYLQPTLPPVVIG
PFFDGSIR (SEQ ID NO:74); and a sequence substantially identical thereto. "Substantially identical" is as defined above.
In another specific, non-limiting example, the TI3SR ectodomain is the activin receptor Ila (ActRIla; SEQ ID NO:75). In this embodiment, the natural linker, if present, may be selected from the group consisting of AILGRSE (SEQ ID NO:76);

21 EMEVTQPTSNPVTPKPPYYNI (SEQ ID NO:77);
EMEVTQPTSNPVTPKPPYYNIAILGRSE (SEQ ID NO:78); and a combination thereof.
Thus, another specific non-limiting example of the second portion of the polypeptide construct of the present invention comprises the sequence selected from the group consisting of:
AILGRSETQECLFFNANWEKDRTNQTGVEPCYGDKDKRRHCFATWKNISGSIEIVKQ
GCWLDDINCYDRTDCVEKKDSPEVYFCCCEGNMCNEKFSYFPEMEVTQPTSNPVTP
KPPYYNIAILGRSETQECLFFNANWEKDRTNQTGVEPCYGDKDKRRHCFATWKNISG
SIEIVKQGCWLDDINCYDRTDCVEKKDSPEVYFCCCEGNMCNEKFSYFPEMEVTQPT
SNPVTPKPPYYNI (SEQ ID NO:80); and a sequence substantially identical thereto. "Substantially identical" is as defined above.
In another specific, non-limiting example, the TGF-I3 receptor ectodomain is the activin receptor Ilb (ActRIlb; SEQ ID NO:81). In this embodiment, the natural linker, if present, may be selected from the group consisting of SGRGEAET (SEQ ID NO:82);
EAGGPEVTYEPPPTAPT (SEQ ID NO:83);
EAGGPEVTYEPPPTAPTSGRGEAET (SEQ ID NO:84); and a combination thereof.
Thus, another specific non-limiting example of the second portion of the polypeptide construct of the present invention comprises the sequence selected from the group consisting of:
SGRGEAETRECIYYNANWELERTNQSGLERCEGEQDKRLHCYASWRNSSGTIELVK
KGCWLDDFNCYDRQECVATEENPQVYFCCCEGNFCNERFTHLPEAGGPEVTYEPPP
TAPTSGRGEAETRECIYYNANWELERTNQSGLERCEGEQDKRLHCYASWRNSSGTI
ELVKKGCWLDDFNCYDRQECVATEENPQVYFCCCEGNFCNERFTHLPEAGGPEVTY
EPPPTAPT (SEQ ID NO:86); and a sequence substantially identical thereto. "Substantially identical" is as defined above.
Thus, in various embodiments of the present invention, the present constructs have an ectodomain comprising an amino acid sequence selected from the group consisting of SEQ ID
NO:35, SEQ ID NO:69, SEQ ID NO:75, SEQ ID NO:81, and a sequence substantially identical thereto. In other embodiments, the second portion comprises the entire extracellular portion of

22 a TI3SR-ED consisting of a sequence selected from the group consisting of SEQ
ID NO:43, SEQ ID NO:44, SEQ ID NO:73, SEQ ID NO:79, SEQ ID NO:85, and a sequence substantially identical thereto.
The at least two ectodomain portion can have the same or different ectodomains, all belonging to the superfamily. In embodiments, the ectodomains bind the same target. In other embodiments, the ectodomains originate from the same receptor species. In other embodiments, the ectodomains are identical and thus are homomeric. In other embodiments the ectodomains are different and thus are heteromeric. In these embodiments, the ectodomain can be for instance a TI3R1I-ED that is type a, and another ectodomain can be a TI3R1I-ED that is type b. A third ectodomain could be the same as either one of these, or different still. For example, when there is more than one ectodomain in the second portion of the polypeptide construct of the present invention, the ectodomains may be all the same (homomers) or all different (heteromers), or any combination of superfamily ectodomains.
Thus, in embodiments, the second portion of the polypeptide construct of the present invention comprises a repeat of a given TI3SR-ED selected from the group consisting of SEQ ID NO:46, 47, 48, 74, 80, 86, and a sequence substantially identical thereto.
In specific embodiments, the second portion of the polypeptide construct of the present invention comprises heteromeric repeats of two distinct TI3SR-ED5 genetically fused and selected from the group consisting of SEQ ID NO:61, 62, 63, 88, and a sequence substantially identical thereto.
In yet other embodiments, the second portion of the polypeptide construct of the present invention comprises homo-multimeric and hetero-multimeric repeats of one or more TI3SR-ED5 selected for instance from the group consisting of SEQ ID NO:49, 50, 51, 64, 65, 66, 67, 68, and a sequence substantially identical thereto.
In the protein construct of the present invention, the first and second portions of the polypeptide construct of the present invention are linked. By the term "linked", it is meant that the two portions are covalently bonded. The chemical bond may be achieved by chemical reaction, or may be the product of recombinant expression of the two portions in a single polypeptide chain. In one specific, non-limiting example, the C-terminus of the first portion is linked directly to the N-terminus of the second portion, that is, no additional "linker" amino acids are present between the two portions. In the case where no linker is present, that is to say direct fusion of the two portions, there will be a direct link between the N-terminus of the full ectodomain and the C-terminus of the antibody constant regions CH2-CH3.
For example, in

23 fusing the Fc variant SEQ ID NO:9 to the SEQ ID NO:43 via the intrinsically disordered linker with SEQ ID NO:36, which is part of the TI3R1I-ED (i.e., no additional "linker" amino acids added), one connects the glycine at the last position of SEQ ID NO:9 to the isoleucine at the first position of SEQ ID NO:43.
A common practice when producing fusion constructs is to introduce glycine or glycine-serine linkers (such as GGGGS, or [G4S]n) between the fused components. As taught in the above paragraph, the polypeptide fusions of the present invention can be produced by direct linkage without use of any additional amino-acid sequence except those present in the Fc portion and in the receptor ectodomain portion. One thus can refrain from utilizing foreign sequences as linkers, providing an advantage due to their potential for undesired immunogenicity and their added molecular weight. Entropic factors are also a potential liability for glycine and glycine-serine linkers, which are highly flexible and may become partially restricted upon target binding, hence causing a loss of entropy unfavourable to binding affinity.
Therefore, only the flexible, intrinsically disordered N-terminal regions of the T13SR receptor ectodomains were employed as natural linkers in embodiments of the present invention. However, the particular amino acid compositions and lengths of these intrinsically disordered linkers (e.g., SEQ ID
NO:36, 37, 70, 76, 82) precluded accurate prediction of whether the resulting direct-fusion constructs will have the required geometry and favourable molecular interactions for correct binding to their intended dimeric ligands.
The first and second portions of the polypeptide construct are, in embodiments, connected by natural intrinsically disordered polypeptide linkers selected from the group consisting of SEQ
ID NO:36, 37, 38, 53, 70, 76, 82, and a sequence substantially identical thereto.
In embodiments, when multiple TI3SR-ED structured regions are present, these can be fused directly or they can be connected by natural intrinsically disordered polypeptide linkers between the ectodomains, such as SEQ ID NO:40, 41, 42, 55, 58, 59, 60, 72, 78, 84, 87, and a sequence substantially identical thereto.
Non-limiting examples of full-length polypeptide constructs of the present invention that comprise the two aforementioned portions are selected from the group consisting of SEQ ID
NO: 91-120, and a sequence substantially identical thereto.
It is particularly important to note that, in the polypeptide constructs of the present invention, the N-terminus of the second portion is linked to the C-terminus of the first portion (see for example Figures 2A, C, D, E, F, and G).

24 Some of the polypeptide constructs of the present invention display significantly greater potency of TGF-I3 neutralization compared to that of the TGF-I3 superfamily receptor ectodomain alone; for example, the polypeptide construct may be between at least 50-fold and 1x106-fold more potent. For example, the polypeptide constructs of the present invention may have a TGF-I3 neutralization potency selected from the group consisting of at least 50-, 75-, 100-, 150-, 200- 300-, 400-, 500-, 600, 1000- 1500-, 2000-, 3000-, 4000-, 5000-, 6000-, 7000-, 8000-, 9000, 10000-, 20000-, 30000-, 40000-, 50000-, 60000-, 70000-, 80000-, 90000-, 100000-, 150000-, 200000-, 250000-, 300000-, 350000-, 400000-, 450000-, 500000-, 550000-600000-, 650000-, 700000-, 750000-, 800000-, 850000-, 900000-, 950000, or 1000000-fold, more potent than the TI3SR-ED alone, or any amount there between. In one example, the potency of the construct is at least 100-fold greater than the receptor ectodomain alone.
Additionally, when the polypeptide constructs of the present invention include a TI3SR-ED that binds TGF-I3, the polypeptide construct may neutralize, to varying extents, all three isotypes of TGF-I3 (that is, TGF-I31, TGF-I32, and TGF-I3) The polypeptide constructs of the present invention have, as assessed in cell-based assays, TGF-I3 neutralizing potencies that are significantly higher (100-fold or more) than those of bivalent comparator polypeptides, i.e. non-Fc-fused T22d35 and T2m-Fc. Within the series of polypeptide constructs of the present invention, those that contain two or more copies of the TI3R11 ectodomain fused to the C-terminus of the Fc constant region have potencies that are higher than those constructs that contain only one copy, as assessed in cell based assays.
Additionally, within the series of polypeptide constructs of the present invention, if the first portion within the construct is "headless", i.e. does not contain a Fab region, the potencies of the constructs are increased by engineering (optimizing) the number of cysteines in the hinge region at the "revealed" N-terminus. Engineering of the cysteine residues at the N-termini of "headless" constructs also markedly reduces the aggregation propensity of the constructs.
Lastly, within the series of polypeptide constructs of the present invention, in vivo in tumor models, cysteine optimized "headless" constructs exhibit higher anti-tumor immuno-modulatory potencies than constructs in which the first portion is a full-sized antibody.
The polypeptide construct of the present invention is expressed as a single polypeptide chain.
Once expressed, the polypeptide construct of the present invention forms a dimer wherein the CH2 and CH3 domains of the respective polypeptide constructs interact to form a properly assembled Fc region such as occurs when the expressed products are secreted into the culturing medium. For example, and without wishing to be limiting, examples of dimerized polypeptide constructs of the present invention are shown in Figures 2A and C-G. In one example, homodimers may be formed by identical polypeptide constructs.
Alternatively, heterodimers may be formed by two different polypeptide constructs; thus, a heterodimer may be formed by two Fc region polypeptide constructs that have been engineered to induce heterodimerization and inhibit homodimerization.
The first portion of the polypeptide construct described above may further comprise, at its N-5 terminus, any suitable antigen-binding antibody fragment known in the art. For example, and without wishing to be limiting in any manner, the first portion of the polypeptide construct may comprise CH2 and CH3 domains and one selected from the group consisting of a single-chain Fv (scFv; a molecule consisting of VL and VH connected with a peptide linker) and a single-domain antibody (sdAb, a fragment composed of a single VL or a single VH; see for example 10 Figure 1C). In other instances, the antigen-binding fragment may be formed by combining the polypeptide construct with a second polypeptide chain. For example, the first portion of the polypeptide construct may comprise CH2 and CH3 domains along with a CHi and VH
domains, which when combined with a second polypeptide comprising CL and VL form a full-size antibody (i.e., Fc and Fab; see for example Figure 1D). In another example, the first portion of 15 the polypeptide may comprise CH2 and CH3 domains along with VH, which when combined with a second polypeptide comprising a VL forms an Fc fused to a Fv.
The combination of constant domains and antigen-binding fragment may be naturally-occurring, or may be obtained by manipulation of a naturally-occurring antibody or by using recombinant methods. The polypeptide constructs such as those just described may require a 20 sequence selected from the group consisting of linker sequences, disulfide bonds, hinge region sequences, and other type of covalent bond to link them to the CH2 and CH3 domains;
those of skill in the art will be familiar with various suitable approaches.
In alternative constructs of the present invention, the polypeptide construct comprises an antibody Fc fragment linked at the C-terminus of each heavy chain to at least one TGF-I3

25 superfamily receptor ectodomain (TI3SR-ED), as described above and as illustrated in Figure 2(A,D,E). The construct may further comprise an antigen-binding fragment at the N-terminus of the Fc; the antigen-binding fragment may be selected from the group consisting of a Fv, scFv, Fab, or sdAb, also as described above. In the polypeptide constructs as described above, the TGF-I3 receptor ectodomain does not interfere in the native function or specificity of the antigen-binding fragment.
The antigen-binding antibody fragment described above, when present, may be directed to any suitable antigen. In certain limited embodiments, the antigen-binding antibody or fragment does not bind to an antigen that is PD-L1, EGFR1, her-2, CD4, CD6, CD20, CD25, MUC-1, IL-2, IL-6, or CTLA-4.

26 The present constructs can further comprise antibody or antibody fragments that target any antigen of interest. They can also comprise the antigen itself, or any other moiety of interest that is genetically encoded. Particular embodiments herein include the EGFR
antibody cetuximab and its active fragments, Avastin, Herceptin, Synagis, FC5, or a poly-aspartate bone-localization motif, such a D10, or sequence substantially identical or equivalent thereto.
The present constructs can comprise a binding protein e.g., antibody and binding fragments thereof, that inhibits a checkpoint protein which may be CTLA-4, PD1, PDL1, PDL2, PDL3, PD1, 67-H3, 67-H4, BTLA, HVEM, TIM3, GAL9, LAG3, VISTA, KIR, 264, CD160, CGEN-15049, CHK 1, CHK2, A2aR, CD28, CD86, or one of the B-7 family ligands or a combination thereof.
Illustrative immune checkpoint inhibitors include Tremelimumab (CTLA-4 blocking antibody), anti-0X40, PD-LI monoclonal Antibody (Anti-B7-HI; MEDI4736), MK-3475 (PD-1 blocker), Nivolumab (anti-PDI antibody), CT- 011 (anti-PDI antibody), BY55 monoclonal antibody, AMP224 (anti-PDLI antibody), BMS- 936559 (anti-PDLI antibody), MPLDL3280A
(anti-PDLI
antibody), MS60010718C (anti-PDLI antibody) and Yervoy/ipilimumab (anti-CTLA-4 checkpoint inhibitor).
Other antibodies provided by the present constructs can include rituximab, muromonab-CD3, abciximab, daclizumab, basiliximab, palivizumab, infliximab, trastuzumab, gemtuzumab ozogamicin, alemtuzumab, ibritumomab tiuxetan, adalimumab, omalizumab, tositumomab, I-131 tositumomab, efalizumab, bevacizumab, panitumumab, pertuzumab, natalizumab, etanercept, IGN101, volociximab, Anti-CD80 mAb, Anti-CD23 mAb, CAT-3888, CDP-791, eraptuzumab, MDX-010, MDX-060, MDX-070, matuzumab, CP-675,206, CAL, SGN-30, zanolimumab, adecatumumab, oregovomab, EGFR-binding antibodies cetuximab, nimotuzumab, necitumumab, panitumumab, matuzumab, and zalutumumab, as well as ABT-874, denosumab, AM 108, AMG 714, fontolizumab, daclizumab, golimumab, CNTO
1275, ocrelizumab, HuMax-CD20, belimumab, epratuzumab, MLN1202, visilizumab, tocilizumab, ocrerlizumab, certolizumab, eculizumab, pexelizumab, abciximab, ranibizimumab, mepolizumab, TNX-355, or MY0-029.
Still other antibodies that can be included in the present constructs are rituximab, zanolimumab, hA20, AME-133, HumaLYM, trastuzumab, pertuzumab, IMC-3G3, ch806, KSB-102, MR1-1, SC100, SC101, 5C103, alemtuzumab, muromonab-CD3, OKT4A, ibritumomab, gemtuzumab, alefacept, abciximab, basiliximab, palivizumab, motavizumab, infliximab, adalimumab, CDP-571, etanercept, ABX-CBL, ABX-1L8, ABX-MA1 pemtumomab, Therex, A51405, natalizumab, HuBC-1, natalizumab, IDEC-131, VLA-1; CAT-152; J695, CAT-192,

27 CAT-213, BR3-Fc, LymphoStat-B, TRAIL-R1mAb, bevacizumab, ranibizumab, omalizumab, efalizumab, MLN-02, zanolimumab, HuMax-IL 15, HuMax-Inflam, HuMax-Cancer, HuMax-Lymphoma, HuMax-TAC, clenoliximab, lumiliximab, BEC2, IMC-1C11, DC101, labetuzumab, arcitumomab, epratuzumab, tacatuzumab, MyelomaCide, LkoCide, ProstaCide, ipilimumab, MDX-060, MDX-070, MDX-018, MDX-1106, MDX-1103, MDX-1333, MDX-214, MDX-1100, MDX-CD4, MDX-1388, MDX-066, MDX-1307, HGS-TR2J, FG-3019, BMS-66513, SGN-30, SGN-40, tocilizumab, CS-1008, IDM-1, golimumab, CNTO 1275, CNTO 95, CNTO 328, mepolizumab, MOR101, MOR102, MOR201, visilizumab, HuZAF, volocixmab, ING-1, MLN2201, daclizumab, HCD122, CDP860, PR0542, C14, oregovomab, edrecolomab, etaracizumab, siplizumab, lintuzumab, Hu1D10, Lym-1, efalizumab, ICM3, galiximab, eculizumab, pexelizumab, LDP-01, huA33, WX-G250, sibrotuzumab, Chimeric KW-2871, hu3S193, huLK26; bivatuzumab, ch14.18, 3F8, BC8, huHMFG1, MORAb-003, MORAb-004, MORAb-009, denosumab, PRO-140, 1D09C3, huMikbeta-1, NI-0401, NI-501, cantuzumab, HuN901, 8H9, chTNT-1/B, bavituximab, huJ591, HeFi-1, Pentacea, abagovomab, tositumomab, 105AD7, GMA161 and GMA321.
In other embodiments, the constant domain/first portion of the constructs can comprise a polypeptide having medicinal properties, such as agents that stimulate the immune system, in particular in relation to the ability of the immune system to attack tumor cells. These polypeptides can include cytokines (such as interleukin-2) or growth factors that stimulate immune cells directly or indirectly (i.e. act by providing gas to the immune system), as well as ectodomains or other binding agents that neutralize ligands which inhibit immune cells, either directly or indirectly (i.e. act by releasing a brake on the immune system).
In other embodiments, the constant domain/first portion of the constructs can comprise a polypeptide that does not have active medicinal properties pe se, but rather provides a localization signal. This localization motif will serve to focus the intrinsic TGF-I3 neutralization activity of the second portion of the construct to a particular region of the body. In one example, the first portion comprised a long poly-aspartate bone-localization motif, preferably D10 or an equivalent bone-localization moiety, which acts to enhance localisation of the construct to bone. By increasing the TGF-I3 neutralization activity of the construct within bone, more favourable dosing levels and schedules may be required for the treatment of bone-related diseases, such as osteogenesis imperfecta, relative to that required for a similar construct without the D10 motif.
Embodiments exemplifying polypeptide constructs of the present invention that include antigen-binding fragments at the N-terminus of the Fc region (first portion) are selected from the group consisting of SEQ ID NO: 121-131, and a sequence substantially identical thereto.

28 In other embodiments, polypeptide constructs of the present invention that include other targeting agents, e.g., a poly-aspartate bone-localization motif, at the N-terminus of the Fc region (first portion), are exemplified by SEQ ID NO: 136-150.
The polypeptide construct of the present invention may also comprise additional sequences to aid in expression, detection or purification of a recombinant antibody or fragment thereof. Any such sequences or tags known to those of skill in the art may be used. For example, and without wishing to be limiting, the antibody or fragment thereof may comprise a targeting or signal sequence (for example, but not limited to ompA), a detection/purification tag (for example, but not limited to c-Myc, His5, His6, or His8G), or a combination thereof. In another example, the signal peptide may be MVLQTQVFISLLLWISGAYG (SEQ ID NO:89) or MDVVTWRILFLVAAATGTHA (SEQ ID NO:90). In a further example, the additional sequence may be a biotin recognition site such as that described in [WO/1995/04069] or in [W0/2004/076670]. As is also known to those of skill in the art, linker sequences may be used in conjunction with the additional sequences or tags, or may serve as a detection/purification tag.
The present invention also encompasses nucleic acid sequences encoding the molecules as described herein. Given the degeneracy of the genetic code, a number of nucleotide sequences would have the effect of encoding the desired polypeptide, as would be readily understood by a skilled artisan. The nucleic acid sequence may be codon-optimized for expression in various micro-organisms. The present invention also encompasses vectors comprising the nucleic acids as just described, wherein the vectors typically comprise a promoter and signal sequence that are operably linked to the construct-encoding polynucleotide for driving expression thereof in the selected cellular production host. The vectors can be the same or different provided both result in secretion of the dimeric polypeptide construct.
Furthermore, the invention encompasses cells, also referred to herein as transgenic cellular host, comprising the nucleic acid and/or vector as described, encoding a first polypeptide construct. The host cells may comprise a second nucleic acid and/or vector encoding a second polypeptide construct different from the first polypeptide construct. The co-expression of the first and second polypeptide constructs may lead to the formation of heterodimers.
The present invention also encompasses a composition comprising one or more than one polypeptide construct as described herein. The composition may comprise a single polypeptide construct as described above, or may be a mixture of polypeptide constructs.
The composition may also comprise one or more than one polypeptide construct of the present invention linked

29 to one or more than one cargo molecule. For example, and without wishing to be limiting in any manner, the composition may comprise one or more than one polypeptide construct of the present invention linked to a cytotoxic drug in order to generate an antibody-drug conjugate (ADC) in accordance with the present invention.
The composition may also comprise a pharmaceutically acceptable diluent, excipient, or carrier. The diluent, excipient, or carrier may be any suitable diluent, excipient, or carrier known in the art, and must be compatible with other ingredients in the composition, with the method of delivery of the composition, and is not deleterious to the recipient of the composition. The composition may be in any suitable form; for example, the composition may be provided in suspension form, powder form (for example, but limited to lyophilised or encapsulated), capsule or tablet form. For example, and without wishing to be limiting, when the composition is provided in suspension form, the carrier may comprise water, saline, a suitable buffer, or additives to improve solubility and/or stability;
reconstitution to produce the suspension is effected in a buffer at a suitable pH to ensure the viability of the antibody or fragment thereof. Dry powders may also include additives to improve stability and/or carriers to increase bulk/volume; for example, and without wishing to be limiting, the dry powder composition may comprise sucrose or trehalose. In a specific, non-limiting example, the composition may be so formulated as to deliver the antibody or fragment thereof to the gastrointestinal tract of the subject. Thus, the composition may comprise encapsulation, time-release, or other suitable technologies for delivery of the antibody or fragment thereof. It would be within the competency of a person of skill in the art to prepare suitable compositions comprising the present compounds.
The constructs of the present invention may be used to treat diseases or disorders associated with over-expression or over-activation of ligands of the TGF-6 superfamily.
The disease or disorder can be selected from, but not limited to, cancer, ocular diseases, fibrotic diseases, or genetic disorders of connective tissue.
In the field of cancer therapy, it has recently been demonstrated that TGF-6 is a key factor inhibiting the antitumor response elicited by immunotherapies, such as immune checkpoint inhibitors (ICI's) (Hahn & Akporiaye, 2006). Specifically, therapeutic response to ICI antibodies results primarily from the re-activation of tumor-localized T-cells.
Resistance to ICI antibodies is attributed to the presence of immunosuppressive mechanisms that result in a dearth of T-cells in the tumor microenvironment. Thus, it is now recognized that in order to elicit responses in resistant patients, ICI antibodies need to be combined with agents that can activate T-cells and induce their recruitment into the tumor, i.e. reversing of the "non-T-cell-inflamed" tumor phenotype. One publication noted that overcoming the non-T-cell-inflamed tumor microenvironment is the most significant next hurdle in immuno-oncology (Gajewski, 2015).
We have shown using a proof-of-principle TGF-8 trap, T22d35, that blocking of effectively reverses the "non-T cell inflamed" tumor phenotype (Zwaagstra et al, 2012). This positions anti-TGF-8 molecules as potential synergistic combinations with ICI's and other 5 immunotherapeutics. In support of this, a 2014 study (Holtzhausen et al., ASCO poster presentation) examined effects of a TGF-8 blocker when combined an anti-CTLA-4 antibody in a physiologically-relevant transgenic melanoma model. The study demonstrated that while anti-CTLA-4 antibody monotherapy failed to suppress melanoma progression, the combination of the TGF-8 antagonist and anti-CTLA-4 antibody significantly and synergistically suppressed 10 both primary melanoma tumor growth as well as melanoma metastasis. These observations correlated with significant increases in effector T-cells in melanoma tissues.
Fibrotic diseases include those that affect any organ of the body, including, but not limited to kidney, lung, liver, heart, skin and eye. These diseases include, but are not limited to, chronic obstructive pulmonary disease (COPD), glomerulonephritis, liver fibrosis, post-infarction 15 cardiac fibrosis, restenosis, systemic sclerosis, ocular surgery-induced fibrosis, and scarring.
Genetic disorders of connective tissue include, but are not limited to, Marfan syndrome (MFS) and Osteogenesis imperfecta (01).
The present invention will be further illustrated in the following examples.
However, it is to be understood that these examples are for illustrative purposes only and should not be used to 20 limit the scope of the present invention in any manner.
Example 1: Production and purification of fusion molecules Several fusion molecules comprising full-size antibody (FSA), VHH-IgG Fc, D10-Fc or "headless" Fc C-terminally-fused to the T22d35 or T2m ectodomains were constructed (Table 1). All constructs comprising a heavy chain included the signal sequence 25 MDVVTWRILFLVAAATGTHA (SEQ ID N0:89) at the N-terminus, while constructs comprising a light chain included the signal sequence MVLQTQVFISLLLWISGAYG (SEQ ID N0:90) at the N-terminus. The DNA coding for constructs were prepared synthetically (Biobasic Inc. or Genescript USA Inc.). Constructs comprising FSA, D10-Fc and "headless" Fc were cloned into the EcoR1 (5' end) and BamH1 (3' end) sites and those comprising VHH-IgG Fc were cloned

30 into the Nina! (5' end) and BamH1 (3' end) sites of the pTT5 mammalian expression plasmid vector (Durocher et al, 2002).

31 Table 1. FSA-, VHH-IgG Fc-, D1O-Fc- and Fc-fusion constructs produced. The letter in brackets in the construct column refers to the type of construct as illustrated in Fig.
2.
Antibody Construct Construct ED Fusion Scaffold source SEQ ID NO:
Cet-T2m (F) T2m FSA (hIgG1) Cetuximab 121, 123 Cet-T22d35 (D) T22d35 FSA (hIgG1) Cetuximab 121, 122 Her-T22d35 (D) T22d35 FSA (hIgG1) Herceptin 124, 125 Ava-T22d35 (D) T22d35 FSA (hIgG1) Avastin 126, 127 Syn-T22d35 (D) T22d35 FSA (hIgG1) Synagis 128, 129 FC5-Fc-T22d35 (E) T22d35 VHH-Fc (mIgG2) FC5-Fc 130 FC5-Fc-T2m (G) T2m VHH-Fc (mIgG2) FC5-Fc 131 D10-Fc-T2m (G) (several variants with T2m Fc hulgG 136-139 differing D1O linkage and IgG isotype) Fc-T22d35 (A) (several variants with T22d35 Fc hulgG 100, 105 differing N-termini and IgG isotype) Fc-T2m (C) (several variants with T2m Fc hulgG 91-97 differing N-termini and IgG isotype) T2m-Fc (R&D) (B) T2m Fc hulgG1 132 T2m-Fc (B) T2m Fc hulgG2 133 The Cet-T2m and Cet-T22d35 constructs were produced by transient co-transfection of Chinese Hamster Ovary (CHO) cells with the heavy chain (HC)-T2m or (HC)-T22d35 construct combined with the Cetuximab light chain (LC) construct which then assembled as the Cetuximab-T22d35 (Cet-T22d35) or Cetuximab-T2m (Cet-T2m) fusion molecules.
Briefly, CetHC-T22d35 (SEQ ID NO:122) and CetLC (SEQ ID NO:121) plasmid DNAs (ratio =
3:2) were co-transfected into a 10L Wavebag culture of CH0-3E7 cells in FreeStyle F17 medium (Invitrogen) containing 4 mM glutamine and 0.1% Kolliphor p-188 (Sigma) in a Wavebag maintained at 37 C. Transfection conditions were: DNA (50% HC+LC plasmids, 30%
ssDNA, 15% AKT plasmid, 5% GFP plasmid): PEI(polyethylenimine)pro (Polyplus) (ratio =
1:2.5). At 24 hours post-transfection, 10% Tryptone N1feed (TekniScience Inc.) and 0.5 mM
Vaporic acid (VPA, Sigma) were added and the temperature was shifted to 32 C to promote the production

32 and secretion of the fusion proteins and maintained for 15 days post transfection after which the cells were harvested. At final harvest the cell viability was 89.6%. The harvest supernatant (10.8L) was filtered (0.2 pm) and loaded onto a 55 mL Protein A MabSelect Sure 55 mL
column (GE Healthcare). The column was washed with 2 column volumes of PBS and protein was eluted with 3 column volumes of 0.1 M sodium citrate pH 3.6. To maximize the yield, the flow through was reloaded onto the Protein A column and eluted as described above. Eluted fractions were neutralized with 1 M Tris, evaluated by SDS-PAGE and those containing Cet-T22d35 were pooled (Figure 3A) and subsequently loaded onto a Hi-load Superdex 26/60 size exclusion chromatography (SEC) column (GE Healthcare) equilibrated in formulation buffer (DPBS without Ca2+, without Mg2+). Protein was eluted using 1 column volume formulation buffer, collected into successive fractions and detected by UV absorbance at 280 nM (Figure 3B). The main peak SEC fractions containing Cet-T22d35 protein were then pooled and concentrated to a concentration of 7.8 mg/mL. The final yield was 533 mg.
Similar transfection, production and purification methods were performed for the other FSA-trap examples listed in Table 1. In the case of the VHH-Fc IgG-, D10 and "headless" Fc-fusion molecules the composition of the transfection mixture was modified as follows:
DNA (80%
plasmid construct, 15% AKT plasmid, 5% GFP plasmid): PElpro (ratio 1:2.5).
The integrity of the pooled Prot-A and SEC fractions of Cet-T22d35 protein was analyzed by SDS-PAGE (4-15% polyacrylamide) under reducing and non-reducing conditions (Figure 3C) and by UPLC-SEC (Figure 3D). For UPLC-SEC, 2-10 pg of protein in DPBS
(Hyclone, minus Ca2+, minus Mg2+) was injected onto a Waters BEH200 SEC column (1.7 pm, 4.6 X
150 mm, SN:01773430816818) and resolved under a flow rate of 0.4 mL/min for 8.5 min at room temperature, using the Waters Acquity UPLC H-Class Bio-System. Protein peaks were detected at 280 nM (Acquity PDA detector). Coomassie brilliant blue (CBB) staining of the gels shows the CetHC-T22d35 (-110 Kd) and CetLC bands (-30 Kd) under reducing conditions while under non-reducing conditions a 250 Kd band is detected which represents the fully assembled and highly pure Cet-T22d35 fusion protein. Additional UPLC-SEC analysis of the SEC purified, pooled ProtA sample confirmed the high degree of purity (99.42%) of the Cet-T22d35 protein and the absence of aggregates. Together, these results demonstrate the manufacturability of the Cet-T22d35 fusion protein.
Similar methods were used to analyse expression levels, purifiability, aggregation levels, and dimeric assembly of several other Fc-ectodomain constructs. The results from these studies are shown in FIGURE 3 E to L.

33 FIGURE 3E to 3H show the results from the analysis of the hIgG1FcAK(C)-T2m construct (an example of Type C construct from FIGURE 2). FIGURE 3E shows the (ProtA)-affinity column elution profile. Fraction 12-15 were pooled, subjected to a UPLC-SEC
evaluation (FIGURE
3F), further SEC purified to remove aggregates and re-evaluated by UPLC-SEC
(FIGURE 3G).
This confirmed the high degree of purity of the hIgG1FcAK(C)-T2m construct and the absence of aggregates. SDS-PAGE (FIGURE 3H) under non-reducing (NR) and reducing (R) conditions shows bands of expected molecular weights, demonstrating the expected assembly of hIgG1FcAK(C)-T2m as a disulphide linked dimer.
FIGURE 31 and 3J compare the level of aggregation of two "headless" Fc-T2m constructs (examples of Type C in FIGURE 2). The Fc-T2m construct is an IgG2-based construct without engineering of the hinge region, thus it contains four cysteine residues, whereas the hIgG2FcAK(CC)-T2m has been engineered by N-terminal truncation of the hinge region to have only two cysteines in the hinge region. It can be seen that the Fc-T2m construct contains a high level of aggregates after Protein A purification, with a doublet peak remaining even after further SEC purification. In contrast, hIgG2FcAK(CC)-T2m, which has an engineered N-terminus, exhibited low levels of aggregates after only Protein A
purification. These results demonstrate the advantage of carrying out N-terminal engineering of headless Fc-T2m constructs to reduce aggregation.
FIGURE 3K and 3L compare the level of aggregation of two "headless" Fc-T22d35 constructs (examples of Type A in FIGURE 2). The Fc-T22d35 construct is without engineering of the hinge-region cysteine residues whereas the hIgG1FcAK(C)-T22d35 construct has been engineered by N-terminal truncation of the hinge to have only one cysteine in the hinge region.
It can be seen that, similarly to Fc-T2m, the Fc-T22d35 construct contains a high level of aggregates after Protein A purification, with a doublet peak remaining as detected by UPLC-SEC even after further SEC purification. In contrast, hIgG1FcAK(C)-T22d35, which has an engineered N-terminus, exhibited lower levels of aggregates after Protein A
purification.
Further SEC purification yielded a singlet peak as detected by UPLC-SEC, confirming the absence of aggregates. These results demonstrate the advantage of carrying out N-terminal engineering of headless Fc-T22d35 constructs to reduce aggregation.
Example 2: Neutralization and binding of TGF43 by fusion constructs The TGF-I3 neutralization potencies of purified Fc-ectodomain fusion constructs were determined and compared to those of non-Fc-fused T22d35. It should be noted that non-Fc-fused T2m does not neutralize any of TGF-I31, -132, or -In (De Crescenzo et al, 2001).

34 TGF-13 neutralization potencies for TGF-131, -132 and -133 were determined for purified fusion constructs using two cell-based signaling assays: 1) the Mv1Lu cell luciferase reporter assay with Mv1Lu cells having a PAI-1-luciferase reporter (as described in (Zwaagstra et al, 2012)) and an A549 cell/IL-11 release assay adapted to the MSD (Meso Scale Discovery) platform.
Mv1Lu cell luciferase reporter assay: Briefly, cells were seeded onto 96-well plates (20,000 cells/well) and then treated with T2m, T22d35, or a fusion construct + 25 pM
TGF-13 at 37 C for 16h in DMEM, 1% FBS, 0.1% BSA. Cells were then lysed and luciferase activity was measured (Promega Corp.) using a Synergy 2 plate reader (BioTek Instruments Inc.).
A549 cell IL-11 release assay: Human A549 lung cancer cells (ATCC-CCL-185, Cedarlane Burlington ON) were seeded in 96-well plates (5 X103 cells/well). The following day 10 pM
TGF-13 in complete media in the absence or presence of a serial dilution of fusion protein was incubated for 30 min at RT prior to adding to the cells. After 21h of incubation (37 C, 5% CO2, humidified atmosphere) conditioned medium was harvested and added to MSD
Streptavidin Gold plates (Meso Scale Diagnostics, Gaithersburg, MD) that were coated with 2 pg/mL
biotinylated mouse anti-human IL-11 antibody (MAB618, R&D Systems, Minneapolis, MN).
After 18h (4 C) plates were washed with PBS containing 0.02% Tween 20, a 2 pg/mL SULF0-tagged goat anti-human IL-11 antibody (AF-218-NA, R&D Systems Minneapolis, MN) was added and plates were incubated for lh at RT. After a final wash, plates were read in a MESO
QuickPlex SQ120 machine (Meso Scale Diagnostics, Gaithersburg, MD). IL-11 readouts were expressed as percent IL-11 release compared to control cells treated with TGF-13 alone.
In one set of experiments, using the Mv1Lu cell reporter assay, the neutralization potency of Cet-T2m (construct Type F in FIGURE 2), Cet-T22d35 (construct Type D in FIGURE
2) and T22d35 (non-Fc-fused) were compared. Figure 4A shows representative TGF-131 (top panel), TGF-133 (middle panel) and TGF-132 (bottom panel) neutralization curves for Cet-T2m, Cet-T22d35 and T22d35 while Table 2 summarizes TGF-131, -132 and -133 neutralization IC50 values.
Unexpectedly, the TGF-131 and TGF-133 neutralization curves for the Cetuximab fusion constructs indicated extremely high potencies that lie in the picomolar range (determining a single IC50 value in these experiments is difficult due to the biphasic nature of the curves). The observed TGF-131 IC50 value for Cet-T22d35 was in the picomolar range. In contrast, the TGF-131 IC50 for non-Fc-fused T22d35 was approximately 1 nM. This illustrates that there is a large increase in T22d35 potency upon fusion to the C-terminus of the Fc region of Cetuximab (due to the biphasic nature of the Cet-T22d35 curve, the fold difference is difficult to determine in these experiments). The TGF-131 IC50 value for Cet-T2m was also subpicomolar (but less potent than Cet-T22d35), whereas unfused T2m is not able to detectably neutralize TGF-131 , even at concentrations above 500 nM (De Crescenzo et al, 2001). This demonstrates that, similar to T22d35, a very significant increase in T2m potency occurs upon fusion to the C-terminus of the Fc region of Cetuximab. Both Cet-T22d35 and Cet-T2m neutralized TGF-132 (ICso nM range), whereas T22d35 and T2m (De Crescenzo et al, 2001) alone did not, even 5 at a concentration of 800 nM, again showing the remarkable increase in neutralization potency that occurs upon fusion of T22d35 or T2m to the C-terminus of an Fc region.
In another set of experiments using the Mv1Lu cell reporter assay, similar extremely high potencies of TGF-13 neutralization were observed for other C-terminus Fc fusion constructs (Table 2), e.g. for constructs in which T22d35 or T2m were fused with FSAs such as Herceptin 10 (Her-T22d35), Avastin (Ava-T22d35) or Synagis (Syn-T22d35) [Type F and D
constructs in FIGURE 2], or with the blood-brain barrier crossing Fc-fused FC5 VHH antibody (FC5-Fc-T22d35 and FC5-Fc-T2m) [Type E and G constructs in FIGURE 2]. In addition, fusion of T22d35 or T2m to the C-terminus of an IgG2-Fc region alone, i.e. an antibody with no Fab region present (Fc-T22d35 and Fc-T2m) [Type A and C constructs in FIGURE 2]
resulted in 15 fusion proteins with similarly high neutralization potencies. However, fusing T2m to the N-terminus of an IgG2-Fc (T2m-Fc) generates a fusion protein that does not neutralize TGF-131 and -133 in the picomolar range, but rather in the range of 1 nanomolar (0.3 to 15 nM in Table 2) and lacks any activity towards TGF-132. These results are similar to those obtained with commercially available N-terminally IgG1Fc-fused TGF-13 Type ll receptor ectodomain (T2m-Fc 20 (R&D Systems)) (0.3 to 0.5 nM in Table 2). Together, these results thus demonstrate that fusion of TGF-13 superfamily receptor ectodomains to the C-terminus of an Fc domain in the context of full-size antibodies, a VHH-Fc, or an Fc region alone, give rise to unexpectedly high TGF- p, neutralization potencies.
Table 2. TGF-13 neutralization ICso of fusion constructs. It should be noted that T2m does not 25 neutralize any of TGF-131, -132, or -133 (De Crescenzo et al, 2001). It should also be noted that the ICso values in the table below are estimates due to the biphasic nature of the curves.
TGF-131 TGF-p3 TGF-132 Av ICso (nM) Av lC5a (nM) Av ICso (nM) Cet-T22d35 0.000,001 0.000,002 13.6 Cet-T2m 0.000,1 0.000,0015 129.2 T22d35 1.232 0.033 No neutralization Her-T22d35 0.000,13 0.000,05 7.89 Ava-T22d35 0.000,000,72 0.000,00038 8.60 Syn-T22d35 0.000,042 0.000 0001 35.2 FC5-Fc-T22d35 0.000,001 0.000,001 = 96.2 FC5-Fc-T2m 0.000,017 0.000,015 432.9 Fc-T22d35 0.001,445 0.000,026 108.4 T2m-Fc (R&D) 0.506 0.323 No neutralization T2m-Fc 14.523 0.276 No neutralization Fc-T2m 0.009,923 0.000,766 460.5 In order to confirm the relative potencies of Fc-ectodomain constructs, a second cell-based assay, an A549 cell IL-11 release assay, was used. This IL-11 release assay acts as a model of TGF-8-mediated biological responses that contribute to both tumor metastasis and fibrosis.
In the set of experiments shown in Figure 4B, the neutralization potencies of T22d35, Fc-T2m, Fc-T22d35, Cet-T22d35, Her-T22d35, Ava-T22d35, Syn-T22d35 and FC5-Fc-T22d35 were compared. It can be seen that the neutralization curves in this assay are not biphasic, making it less challenging than the Mv1Lu assay to determine and compare IC50 values.
All of the constructs in which T22d35 was fused to the C-terminus of an Fc region exhibited IC50 values in the range of 5 pM, corroborating the extremely high potency observed for these constructs in the Mv1Lu assay. It can also be seen in FIGURE 4B that the IC50 value for non-Fc-fused T22d35 was ¨0.5 nM. This indicates that a ¨100-fold increase in potency occurs upon fusion of T22d35 to the C-terminus of an Fc region. The IC50 value for Fc-T2m was 0.05 nM. This indicates that constructs with two ectodomains in the C-terminal portion may be more potent than a construct with one ectodomain in the C-terminal portion (as was observed in the Mv1Lu assay, FIGURE 4A), however, it should be noted that Fc-T2m does not have an optimized N-terminus.
An additional set of experiments in which the A549 cell IL-11 release assay was used to compare TGF-8 neutralization potencies is shown in Figure 4C. Here, the potencies of several "headless"-T2m constructs were assessed along with that of non-Fc-fused T22d35. The potency of T22d35 was determined to be ¨0.5 nM, consistent with the data shown in FIGURE
4B. This is illustrative of the robustness of the A549 cell IL-11 release assay. It can also be seen in FIGURE 4C that all of the "headless"-T2m constructs exhibited high potencies with IC50s in the range of 5 pM (3 to 17 pM). These values are in the same range as those of the T22d35-containing constructs shown in FIGURE 4B, and are 10-fold higher potency than that of the "headless"-T2m containing construct also shown in FIGURE 4B (Fc-T2m).
Since all of the T2m-containing constructs in FIGURE 4C have engineered N-termini, whereas Fc-T2m does not, these results indicate that engineering of the cysteine residues of the hinge region of "headless" constructs is able to increase their potency by approximately 10-fold.

We have also compared the potencies of constructs that include three T13R11 structured ectodomains with constructs carrying two ectodomains using the A549 cell IL-11 release assay. We observed that the triple-repeat based constructs (SEQ ID NO:111 and SEQ ID
NO:116) are potent in neutralizing TGF-I31 in this assay, and typically have improved 1050 values relative to the corresponding double-repeat based constructs (SEQ ID
NO:100 and SEQ ID NO:106, respectively). All constructs involved in this comparative study had the same engineered N-terminus of the Fc portion, hIgG1FcAK(C).
Binding to TGF-I3: Binding of T22d35, Cet-T22d35, and Cet-T2m to TGF-132 was measured using a competitive SPR binding experiment. In this assay, the molecule of interest was first allowed to bind to a fixed amount of TGF-13 in solution. A 2-fold dilution series was prepared in PBS-0.05% Tween, starting with 1000 nM T22d35 trap or 20 nM Cet-T22d35 or Cet-T2m.
Each diluted sample was pre-incubated with 1 nM TGF-132 for 30 min at room temperature to allow binding. The mixture was then flowed over immobilized, pan-specific anti-TGF-13 antibody 1D11 (2000 RU 1D11) in order to quantify the amount of ligand left unbound (-ectodomain and 1D11 bind to a similar epitope on TGF-13) using a Biacore T200 instrument.
The TGF-132 binding EC50 values were determined by plotting the percent free TGF-13 versus the protein concentration of the molecule of interest. Binding curves and EC50 values are shown in Figure 4D and Table 3. In the case of TGF-132 binding, a 100-fold increase in binding was observed between Cet-T22d35 and unfused T22d35 (EC50 ¨ 1 nM versus > 100 nM, respectively), indicating that C-terminal fusion of the T22d35 trap to antibody provides a gain in affinity for the TGF-132 isoform. This correlates with the ability of Cet-T22d35 to neutralize TGF-132 in the 10 nM range, and the inability of unfused T22d35 to neutralize TGF-132, as observed in the Mv1Lu-Luc cell reporter assay.
Table 3. EC50 of Cetuximab-trap binding to TGF-13 in solution. EC50 is the Effective Concentration at which 50% of TGF-13 is bound and is given in nM. Note: T2m alone shows an 1050 of greater than 1000 nM (Zwaagstra et al, 2012), and thus is not considered neutralizing.
Trap variant EC50 for TGF-132 T22d35 >100 Cetuximab-T2m 1.17 Cetuximab-T22d35 0.50 Example 3A: Validation of antibody binding The ability of an antibody alone or in a fusion construct of Example 1 to bind to its intended target antigen was evaluated using surface plasmon resonance (SPR).
Direct binding of Cet-T22d35 or Cetuximab to the EGF receptor extracellular domain (EGFR-ED) was quantified by SPR using a BlAcore T200 instrument, performed in the standard manner. Briefly, Cet-T22d35 or Cetuximab alone were captured on the SPR CM5 chip using immobilized anti-human IgG Fc-specific antibody (2000 RU). Variable concentrations of EGFR-ED in PBS-0.05% Tween were then flowed over the capture surface at 100 pl/min and 25 C.
The resulting sensorgrams (data not shown) were analyzed using the Biacore T200 evaluation software. The KD values of Cet-T22d35 and Cetuximab were very similar (847 and 708 pM, respectively), indicating that fusion of T22d35 to the Fc portion of Cetuximab does not appreciably alter binding to EGFR-ED, compared to the non-fused FSA. Similar SPR methods and analyses were performed for other antibody-trap fusion examples, compared with their corresponding target antigens (see Table 4).
From Table 4 it is evident for each exemplified construct that fusion of a TGF-I3 superfamily receptor ectodomain(s) to the C-terminus of the Fc region of an antibody did not significantly alter antigen-binding affinities and KD values of the antibody. This indicates that the ectodomain(s) can be readily fused to any antibody without compromising the ability the antibody to bind its target antigen.
Table 4. SPR determination of antigen-binding affinity of T22d35 fusion constructs or antibodies alone. NOTE: FC-5-Fc, FC5-Fc-T2m, and FC-5-Fc-T22d35 binding affinity was assessed via the transwell functional assay (see Example 3C).
Antigen Ka (1/Ms) Kd (us) KD (M) Cetuximab-EGFR 1.22X106 8.65X104 7.08X101 T22d35 Cetuximab EGFR 1.03 X106 8.45 X10 4 8.47 X10 Her-T22d35 Her2 8.30 X104 5.30 X10-5 6.37 X10-10 Herceptin Her2 6.88 X104 5.03 X10-5 7.33 X10-10 Syn-T22d35 RSV-F 3.55 X104 1.42 X10-3 4.10 X10 9 Synag is RSV-F 2.57X104 1.68X103 6.60X109 Example 38: Validation of Cetuximab function The ability of Cetuximab to maintain its therapeutic function (i.e. inhibition of EGF-induced EGFR phosphorylation and signaling) when fused to either T2m or T22d35 (Example 1) was evaluated.
Phosphorylation of EGFR: The ability of Cetuximab-comprising constructs to inhibit EGF-induced phosphorylation of EGFR in human lung cancer A549 cells was evaluated.
A549 cells were seeded in 24-well plates (100,000 cells/well) and either mock treated (-) or pre-treated with Cetuximab, Cet-T2m, or Cet-T22d35 (all at 10, 1 or 0.1 nM) or T22d35 (10 nM) at 37 C for 3 h, then treated with 50 ng/mL EGF at 37 C for 10 min. Whole cell lysates were prepared and resolved by SDS-PAGE, western blotted and probed with anti-phosphoTyrosine antibody (Clone 4G10, Millipore 05-321). As shown in Figure 5A, Cetuximab and Cet-T2m and Cet-T22d35 inhibited EGFR phosphorylation to similar extents, whereas T22d35 had no effect, relative to the +EGF control. These results thus confirm that the TGF-I3 superfamily receptor ectodomain moieties in Cetuximab-T2m and Cetuximab-T22d35 fusion proteins do not interfere with the function of the Cetuximab antibody (i.e. inhibition of EGF
induced EGFR
signaling).
Inhibition of EGFR signaling: Inhibition of autocrine EGFR signaling results in varying degrees of cytotoxicity in EGFR-expressing cells treated with Cetuximab. Cytotoxicity of Cet-T22d35 was compared to Cetuximab and T22d35 in human breast cancer cells (MDA-MB-468) and immortalized keratinocyte cells (HaCaT). These cells exhibited significant Cetuximab cytotoxicity, due to their intrinsic dependence on the EGF signaling pathway for basal growth.
The cells were seeded onto 96-well plates (MDA-MB-468, 2300 cells/well; HaCaT, cells/well) and then treated with different doses of inhibitor at 37 C for 5 days. Cell viability was measured using sulforhodamine reagent to determine the percentage of viable cells relative to mock-treated controls. Results are shown in Figure 5B and Table S. The IC50 values for Cet-T22d35 and Cetuximab were similar in both cell lines (0.2-1.4 nM range), while T22d35 resulted in no cytotoxicity. These results further confirm that the TGF-I3 superfamily receptor ectodomain moiety in Cetuximab-T22d35 does not interfere with the function of the Cetuximab antibody.
Table S. Cetuximab-T22d35 cytotoxicity in MDA-MB-468 and HaCat cells. The cytotoxic potency IC50 values are given in nM.
MDA-MB-468 IC50 HaCaT IC50 Cetuximab 0.50 0.33 Cetuximab-T22d35 1.42 0.22 T22d35 0 0 Example 3C: Validation of FC5 function The ability of FC5 VHH to maintain its function (i.e. transmigrate the blood-brain barrier) when fused with the T2m or T22d35 moieties (see description in Example 2 and activities in Table 2) 5 was evaluated.
Briefly, SV40-immortalized Adult Rat Brain Endothelial Cells (Sv-ARBEC) were used to generate an in vitro blood-brain barrier (BBB) model as described (Garberg et al, 2005;
Haqqani et al, 2013). Sv-ARBEC cells (80,000 cells/membrane) were seeded on 0.1mg/mL rat tail collagen type l-coated tissue culture inserts (pore size-1 pm; surface area 0.9 cm2, Falcon) 10 in 1 ml of growth medium. The bottom chamber of the insert assembly contained 2 ml of growth medium supplemented with the immortalized neonatal rat astrocytes-conditioned medium in a 1:1 (v/v) ratio. Equimolar amounts (5.6 M) of positive (FC5-Fc) control; negative controls (A20.1); and T22d35, T2m, FC5-Fc-T22d35 or FC5-Fc-T2m were tested for their ability to cross the Sv-ARBEC cell monolayer. Following exposure of equimolar amounts of the 15 proteins to the luminal side of the BBB, samples were taken after 15, 30, and 60 min from the abluminal side. The protein content of each sample was then quantified by mass spectrometry (multiple reaction monitoring ¨ isotype labeled internal standards; MRM ¨
ILIS) as described by (Haqqani et al, 2013) (see method description below).
Quantified values can be directly plotted or the Papp (apparent permeability coefficient) values 20 can be determined using the following formula dQr/dt Papp = ____________________________________ A x Co The Papp value is commonly used to determine the specific permeability of a molecule, and is a measure of transport across the brain endothelial monolayer. [Qr/dt =
cumulative amount in the receiver (bottom) compartment versus time; A = area of the cell monolayer; CO
= initial concentration of the dosing solution (top chamber) ].
25 Figure 6 shows the results of the experiment. The Papp value of FC5-Fc-T22d35 was similar to the control FC5-Fc, indicating it was transported efficiently and that the fused T22d35 did not interfere with transport. The Papp value for FC5-Fc-T2m was approximately 50%
less, compared to FC5-Fc-T22d35 and FC5-Fc, indicating somewhat reduced permeability.
Nevertheless, the level of transport of FC5-Fc-T2m was about 4-fold greater than the negative controls (T2m, T22d35, and antibody A20.1).
Example 4: Inhibition of epithelial to mesenchvmal transition Treatment of A549 cells with EGF plus TGF-6 results in a strong epithelial to mesenchymal transition (EMT). The EMT is phenotypically characterized by changes in cell morphology (tight cellular junctions with "cobble-stone" appearance converts to elongated cells, see Figure 7A) and changes in the adherin junction proteins E-cadherin and N-cadherin. The ability of the fusion constructs to block EMT was assessed in A549 cells by western blotting (E-cadherin) and flow cytometry (E-cadherin and N-cadherin).
Briefly, for the western blot analysis, A549 cells were seeded in 24-well plates (8000 cells/well) and then treated with EGF (50 ng/mL) + TGF-61 (50 pM) at 37 C for 3 days in the presence of Cet-T22d35, Cetuximab, or T22d35 (0, 0.05, 0.5, 5, 50, or 500 nM). Whole cell lysates were prepared and resolved by SDS-PAGE. The proteins were transferred to nitrocellulose and then probed with an E-cadherin antibody (BD Transduction laboratories Biosciences) (Figure 7B).
The E-Cadherin positive bands in the Western blot were quantified by densitometer detection and ImageJ analysis (Figure 7C). EGF+TGF-6 treatment resulted in an EMT, as indicated by the disappearance of E-cadherin (compare non-treated and EGF+TGF-6 lanes in the absence of inhibitors). Cet-T22d35 blocked the EMT (E-cadherin disappearance) in a dose-dependent manner whereas 500 nM Cetuximab or T22d35 treatments only modestly blocked the EMT (E-cadherin levels ¨ 20-25% of the non-treated control level).
The ability of Cet-T22d35, Cetuximab and T22d35 to block the EGF+TGF-6 EMT
response was further examined by flow cytometry using A549 cells treated with Cet-T22d35 or Cetuximab, (all at 50, 5, 0.5 nM) or the Cetuximab + T22d35 combination (50 nM + 100 nM, 5 nM +
10 nM, or 0.5 nM + 1 nM, respectively) and evaluating the EMT associated changes in E-cadherin and N-cadherin cell surface expression levels (Figure 7D). In this experiment the molar amounts of the molecules of interest used in 722d35 alone' and `Cetuximab + T22d35' groups were two-fold higher than for Cet-T22d35 in order to correspond with a 2:1 trap/antibody ratio in the Cet-T22d35 fusion molecule. A549 cells were seeded in 6-well plates (30,000 cells/well) and pre-treated with the inhibitors at 37 C for 1 h, followed by added treatment with EGF (10 ng/mL) + TGF-61 (10 pM) and incubation at 37 C for 3 days. Cells were then dissociated from the plate using 1 mL
Dissociation Buffer (Sigma) /well, centrifuged at 2000 rpm for 2 min and re-suspended in 100 pl RPMI-5 media at 4 C. AlexaFluor488-E-cadherin (Santa Cruz, SC21791) and AlexaFluor647-N-cadherin (BD Biosciences, 563434) antibodies (1/25 v/v dilutions) were added and samples were incubated at 4 C for lh. Cells were then centrifuged, washed once in RPMI-5, and re-suspended in 400 pl RPMI-5 containing 15 pg/mL propidium iodide (Life Technologies) at 4 C. Mean fluorescent intensities (MFI) were measured by flow cytometry (BD LS RII flow cytometer, BD
Biosciences) to quantify E-cadherin and N-cadherin levels. The results show that Cet-T22d35 was more effective in preventing down-regulation of E-cadherin (Figure 7D, top panel) and up-regulation of N-cadherin (Figure 7D, bottom panel), as a measure of blocking EMT, compared to Cetuximab, T22d34 or the Cetuximab + T22d35 combination at each respective dose, and is most notable at the lowest dose used (0.5 nM).
Example 5: Pharmacokinetic (PK) studies on constructs with and without a lysine residue at the fusion site between the C-terminus of the Fc region and the N-terminus of the ectodomain PK studies were carried out in normal, healthy mice to determine whether fusion of T22d35 to an antibody increased its half-life in vivo, and whether removal of a lysine at the fusion site within constructs reduced the amount of cleavage occurring in vivo.
Results from Cet-T22d35 (construct Type D in Figure 2 - containing a lysine at the fusion site):
A single bolus of Cet-T22d35 protein (10 mgs/Kg) formulated in DPBS was intravenously injected (IV) into the tail vein of normal Balb/c mice and serum samples were collected from the submandibular vein at selected time points (0.5, 1, 2, 4, 8, 14, 24, 48, 96h). Blood samples were centrifuged at 2000g at 4 C for 10 min and the serum supernatant was removed and stored frozen at -80 C, prior to analyses. The samples were thawed at 4 C and analyzed via mass spectrometry (multiple reaction monitoring ¨ isotype labeled internal standards; MRM ¨
LIS) in order to measure the levels of both the Cetuximab and T22d35 trap moieties. Briefly, 20 pl of sample was thawed and treated with mild detergents (0.1% RapiGest SF, Waters; 5.5 mM TCEP) at 95 C for 10 min. The sample was cooled to room temperature and lodoacetamide (IAA) in 50 mM Ammonium Bicarbonate was added to a final concentration of 10 mM IAA, followed by incubation for 40 min in the dark. DTT (10 mM final) was then added and the sample was incubated at room temperature for 15 min, followed by trypsin digestion (Sigma, 0.8 mg/mL final) at 37 C for 18h. A mixture of 5 pM each of isotope-labeled trap and cetuximab peptides (formulated in 30% acetonitrile, 0.1% formic acid) were added to final concentrations of 1 pM, as internal standards for quantification. The isotope-labeled peptides were 13C/15N-(H2N-LPYHDFILEDAASPK-OH; SEQ ID NO:134) and 13C/15N-(H2N-ALPAPIEK-OH; SEQ ID NO:135) for T22d35 and Cetuximab, respectively (NewEngland Peptide). Trifluoroacetic acid was then added (0.5% final), followed by incubation at 37 C for 30 min. The samples were centrifuged at 13000 rpm for 20 min and the supernatant was used analyzed via MRM ¨ ILIS using an Agilent 1260 HPLC system coupled with Agilent QQQ6410B at 55 C. The PK profiles seen in Figure 8A show that the levels of the Cetuximab and T22d35 moieties diverge at early time points (< 10 h) after injection, indicating different kinetics and suggesting possible cleavage of T22d35 from the Cet-T22d35 protein in vivo.
Nevertheless, analysis of these curves using a two compartmental model (Phoenix WinNonlin SoftwareVersion 6.3) indicated that the average terminal half-life (T1/2 13) of the T22d35 component was 45.8 h. This represents a 7.6-fold increase compared to the previously determined half-life for unfused T22d35 (T1/2 3- 6 h). As well, the PK profile shows that the Cetuximab moiety was maintained in the blood, with a T1/2 3 = 262.5 h, indicating that the Cetuximab moiety has a long circulating half-life.
Results from several constructs with lysine deleted at the fusion site:
The same methods that were used in the PK study of Cet-T22d35 (Figure 8A) were applied to assess the PK of CetAK-T2m (Type F in Figure 2) as well as several "headless"
T2m constructs (Type C in Figure 2; hIgG1FcAK(SS)-T2m, hIgG1FcAK(AC)-T2m, and hIgG2FcAK(SS)-T2m), all of which have the lysine deleted at the fusion site.
The data shown in Figure 8B indicate that no detectable cleavage of these constructs is occurring in vivo since the levels of the Fc moieties (closed symbols) and ectodomain moieties (open symbols) do not diverge over time. Additionally, all of the constructs exhibit similar long circulating half-lives with T1/2 ps of approximately 100 h. This represents an improvement to the half-life of the ectodomain moiety of the construct which has a lysine at the fusion site, presented in Figure 8A (45.8 h).
Example 6: Efficacy studies comparing the effect of "headless" Fc-T2m and FSA-constructs on tumor growth (A) and T-cell function (B and C) in an immune-competent syngeneic triple negative breast cancer (4T1) model.
A FSA-T2m construct (Cet-T2m ¨ Type F in Figure 2) and three headless constructs, all with engineered N-termini, (hIgG1FcAK(CC)-T2m, hIgG1FcAK(C)-T2m, and hIgG2FcAK(CC)-T2m ¨ Type C in Figure 2) were evaluated for their ability to inhibit tumor growth and to affect T-cell function in a syngeneic tumor model derived from 4T1 triple negative breast cancer cells. The results presented in Figure 9 show the effect on tumor growth (A) and T-cell function (B, C).
The effects of these Fc-fused ectodomain constructs were compared to those of a pan-specific neutralizing anti-TGF-I3 antibody, 1D11 and a non-Fc-fused ectodomain construct, T22d35.
The protocols used for these syngeneic mouse model studies are described in (Zheng et al, 2013). Briefly, female BALB/c (H-2Kd) mice 6 weeks of age were purchased from The Jackson Laboratories and kept in filter-top cages. The 4T1 breast cancer cells and B16F10 cells were purchased from American type culture collection and cultured in RPMI-1640 supplemented with 2 mmol/L L-glutamine, 100 U/mL penicillin, 100 microgm/L streptomycin, 50 micromol/L 2-mercaptoethanol, and 10% fetal calf serum. Mice were inoculated subcutaneously in the left flank with 100 uL sterile saline containing 5x104 4T1 cells. Tumors were grown to ¨100 mm3, as measured by caliper, then mice were randomized and divided into the six treatment groups (8 animals/group) (Day 0). Treatments commenced on Day 1 and continued for 15 days with the animals being dosed at 5 mg/kg twice per week such that they received a total of 4 doses.
Tumor growth was monitored by caliper measurements 3x per week. Animals were euthanized by exsanguination under anaesthesia on Day 15; T cells were isolated from draining lymph nodes and assessed for their capacity to kill mouse 4T1 and B16F10 tumour cells ex vivo. The capacity of T cells from mice treated with or without test agents to lyse target 4T1 tumor cells was measured using a CytoTox 96 nonradioactive cytotoxicity assay kit (Promega) according to the manufacturer's instructions. Briefly, naïve target 4T1 cells or melanoma cell line B16F10 cells are plated and incubated for 4 hr with CD8+ effector T cells isolated from 4T1 tumor-bearing mice using CD8 magnetic MicroBeads (BD Bioscience). The isolated CD8+
cells are confirmed, by flow cytometry, to be over 85% CD8+. A range of ratios of effectors to target cells is tested (100:1, 50:1, 25:1). Lactate dehydrogenase (LDH) release in response to effector T cells is measured in the buffer bathing target cells. Target cells incubated in the absence of effector cells are used as a comparator to control for spontaneous LDH release.
Released LDH in culture supernatants is detected after a 30-min incubation using a coupled enzymatic assay. The intensity of the color formed is proportional to the number of lysed cells.
Cytotoxic activity of CTL is calculated using the following formula:
Cytotoxic activity `)/0 = [(absorbance) ¨ (spontaneous effector cell LDH
release) ¨ (spontaneous target cell LDH release)]/[(maximal LDH release) ¨ (spontaneous target cell LDH release)] X

The results presented in Figure 9A show the effect of the Fc-fused ectodomain constructs listed above on 4T1 tumor growth (the pan-specific neutralizing anti-TGF-13 antibody, 1D11, and a non-Fc-fused ectodomain construct, T22d35, being tested as comparators).
As can be seen in Figure 9A, all of the Fc-fused ectodomain constructs reduced tumor growth relative to the saline treatment when tested for significance by t-test. The 1D11 and T22d35 comparator treatments were observed to be less effective relative to the Fc-fused ectodomain treatments, and not significantly different from the saline control. These results demonstrate that constructs with an ectodomain fused to the C-terminus of an Fc region have significant anti-tumor potency, with the efficacy being higher than the 1D11 and T22d35 comparators.
There was no significant difference between the FSA-T2m construct (Cet-T2m) and the constructs that have no Fab, i.e. are "headless" (hIgG1FcAK(CC)-T2m, hIgG1FcAK(C)-T2m, and hIgG2FcAK(CC)-T2m) with respect to their effect on tumor growth. The high anti-tumor potency of these Fc-ectodomain fusions relative to comparators likely results from high potency neutralization of TGF-8 combined with a favourable circulating half-life.
5 To investigate whether these Fc-ectodomain fusions exhibit an immuno-modulatory effect in vivo on cytotoxic T lymphocyte cells (CTLs) present in tumor draining lymph nodes, lymph nodes were removed from mice treated with or without test agents; T-cells were then isolated and tested for their capacity to lyse target 4T1 tumor cells (and B16F10 cells as a test of tumor specificity) using the methods described above.
10 As shown in Figure 9B, treatment of the animals with Fc-ectodomain fusions significantly increased the ability of draining lymph node T-cells to lyse target 4T1 tumor cells ex vivo. It can be seen that this immuno-stimulatory effect is specific to 4T1 cells since the T-cells were not able to effectively lyse B16F10 melanoma cells (FGURE 9C; maximal lysis of ¨15% for B16F10 cells and ¨80% for 4T1 cells). When administered at the same 5 mg/kg dose as the 15 Fc-ectodomain fusions, the non-Fc-fused comparator molecule, T22d35, had no effect above saline. This is consistent with its lack of effect on tumor volume. Although the 1D11 antibody had no statistically significant effect on tumor volume (FIGURE 9A), it did increase the ability of lymph node T-cells to lyse 4T1 tumor cells.
Interestingly, with respect to the Fc-ectodomain fusions of this invention, the most potent 20 constructs were the hIgG1FcAK(CC)-T2m and hIgG2FcAK(CC)-T2m constructs;
both of these constructs containing two cysteines in the engineered hinge region. These constructs were more potent than the construct with one cysteine in the engineered hinge region, hIgG1FcA
K(C)-T2m, as well as being more potent than the full-size antibody-T2m construct, Cet-T2m.
The difference in potency between constructs with one versus two hinge region cysteines may 25 result from the construct with one cysteine having a lower relative stability. The lower potency of the full size antibody construct relative to the headless constructs with two hinge region cysteines may result from a difference in molecular weight, with the smaller constructs being able to penetrate the tumor microenvironment more effectively.
Example 7: In vitro and In vivo studies illustrating enhanced bone localization of constructs 30 containing a deca-aspartate motif for bone targeting at the N-terminus of the Fc region.
In vivo studies were carried out to investigate whether the addition of a 10 amino acid long poly-aspartate bone-localization motif (D10) to the N-terminus of the Fc region of constructs will promote their localization to bone. Optical imaging of D10-hIgG1Fc-T2m fusions: Upon arrival, male Balb/c mice were housed 3 mice/cage. On the day of the experiment, animals were shaved dorsal and ventral and treated with the hair removal cream, NAIR .
Mice were injected with a single intravenous bolus of 10 mg/kg of two CF770 labeled constructs with a deca-aspartate motif for bone targeting (D10) at their N-termini (D10-hIgG1FcAK(CC)-T2m, D10-GSL-hIgG1FcAK(CC)-T2m) or with a control construct without the D10 motif (hIgG1FcAK(CC)-T2m) and whole body bio-distribution followed using both in vivo and ex-vivo near infrared imaging. Imaging was conducted with a small-animal time-domain eXplore Optix pre-clinical imager MX3 (Advanced Research Technologies, ART) at various time points (prescan, 5mins, 3hr, 6hr, 24h, 48h, 72h, 96h and 120h).
The small animal time-domain eXplore Optix preclinical imagers consists of a 785-nm pulsed laser diode with a repetition frequency of 80 MHz and a time resolution of 12.5 ps light pulse was used for excitation. The fluorescence emission beyond 813 nm was collected by a highly sensitive time-correlated single photon counting system and detected through a fast photomultiplier tube. The data were recorded as temporal point-spread functions (TPSF) and the images were presented as fluorescence intensity maps using ART Optix Optiview analysis software 3.02.
For in vivo optical imaging, mice were first anesthetized using isofluorane (1.5-2%), positioned on the animal stage within a chamber which allows for gaseous anesthesia and maintenance of animal temperature at 36 C. The scanning of the mouse at each time point lasted up to 20 mins using a 2.5 mm step size and the mouse is placed back in its home cage between imaging time points.
At the end of the imaging protocol (120 hrs) animals were sacrificed by intracardiac perfusion using heparnized saline with deep anesthesia. The organs (brain, heart, lungs, liver, kidney, spleen and right and left leg bones) were imaged ex-vivo using a 1.0 mm step size using the eXplore Optix pre-clincal imager MX3.
Data analysis was done using eXplore Optix Optiview analysis software 3.02 (Advanced Research Technologies, Montreal, QC) to estimate the fluorescence total and average fluorescence intensity in region of interest containing the ex-vivo organs.
The results shown in FIGURE 10A and B demonstrate that the fusion of the deca-aspartate D10 motif on the N-termini of the fusion constructs had no impact on their ability to neutralize TGF-I3, i.e. the IC50 of the construct lacking the D10 motif (hIgG1FcAK(CC)-T2m) was 3 nM, which is the same as the value determined in FIGURE 4C, while the IC50s of the containing constructs, D10-hIgG1FcAK(CC)-T2m and D10-GSL-hIgG1FcAK(CC)-T2m, were very similar at 4-5 nM. The results in FIGURE 10A and B also indicate that labeling with the CF770 dye reduced the ability of the constructs to neutralize TGF-I3 by approximately 4-fold.
Since dye conjugation occurs at lysine residues, and since it is know that lysines are at the binding interface between the Type ll ectodomain and TGF-I3, it is not entirely surprising that labeling reduced neutralization potency. In any case, since this is a comparative study of differences in in vivo localization promoted by the D10 peptide, it was felt that partially active constructs would be informative.
The results shown in FIGURE 10C and D demonstrate that the addition of the D10 peptide to the N-termini of the constructs greatly enhanced bone localization. Images taken 120 h post-injection of the CF770 labeled fusions show a clear accumulation of the D10-fusions in the vertebrae. Further ex vivo imaging of the brain, heart, lungs, liver, kidneys, spleen, and the left and right legs 120 h post-injection confirmed the specific accumulation of the D10-fusions in the bones. The fluorescent signals observed in the kidneys and liver were similar for all fusions indicating that accumulation in these organs was not affected by the presence of the D10 sequence. These results indicate that the TGF-I3 neutralization activity of constructs may be increased within bone through the addition of the D10 peptide. This could result in more favourable dosing levels and schedules for the treatment of bone-related diseases, such as osteogenesis imperfecta, relative to that required for a similar construct without the D10 motif.
The embodiments and examples described herein are illustrative and are not meant to limit the scope of the invention as claimed. Variations of the foregoing embodiments, including alternatives, modifications and equivalents, are intended by the inventors to be encompassed by the claims. Furthermore, the discussed combination of features might not be necessary for the inventive solution.

LISTING OF SEQUENCES
SEQ Sequence Description ID
NO:
1 APELLGGPSVFLFPPKP KDTLM I S RTPEVTCVVVDVSHEDPEVKFNWYVDG Human IgG1 Fc VEVHNAKTKPREEQYNSTYRVVSVLTVLHQDWLNGKEYKCKVSNKALPAP I region EKT I SKAKGQPREPQVYTLPPSRDELTKNQVSLTCLVKGFYPSD IAVEWES
NGQPENNYKTTPPVLDSDGSFFLYSKLTVDKSRWQQGNVFSCSVMHEALHN
HYTQKSLSLS PGK
2 APPVAGPSVFLFPPKPKDTLM I SRTPEVTCVVVDVSHEDPEVQFNWYVDGV Human IgG2 Fc EVHNAKTKPREEQFNS TFRVVSVL TVVHQDWLNGKEYKCKVSNKGLPAP IE region KT I S KTKGQPREPQVYTLPPSREEMTKNQVSLTCLVKGFYPSD I SVEWESN
GQPENNYKTTPPMLDSDGSFFLYSKLTVDKSRWQQGNVFSCSVMHEALHNH
YTQKSLSLSPGK
3 APELLGGPSVFLFPPKP KDTLM I S RTPEVTCVVVDVSHEDPEVQF KWYVDG Human IgG3 Fc VEVHNAKTKPREEQYNSTFRVVSVLTVLHQDWLNGKEYKCKVSNKALPAP I region EKT I SKTKGQPREPQVYTLPPSREEMTKNQVSLTCLVKGFYPSD IAVEWES
SGQPENNYNTTPPMLD SDGS FFLYS KLTVD KSRWQQGNI FS CSVMHEALHN
RFTQKSLSLS PGK
4 APEFLGGPSVFLFPPKPKDTLM I S RTPEVTCVVVDVSQEDPEVQFNWYVDG Human IgG4 Fc VEVHNAKTKPREEQFNSTYRVVSVLTVLHQDWLNGKEYKCKVSNKGLPS S I region EKT I SKAKGQPREPQVYTLPPSQEEMTKNQVSLTCLVKGFYPSD IAVEWES
NGQPENNYKTTPPVLDSDGSFFLYSRLTVDKSRWQEGNVFSCSVMHEALHN
HYTQKSLSLSLGK
EPKS CDKTHTCPPCP Human IgG1 hinge region 6 ERKC CVECPP CP Human IgG2 hinge region 7 ELKTPL=THTCPRCPEPKSCDTPPPCPRCPEPKS CDTPPPCPRCPEPKS Human IgG3 CDTPPPCPRCP hinge region 8 ES KYGPPCPS CP Human IgG4 hinge region 9 APELLGGPSVFLFPPKP KDTLM I S RTPEVTCVVVDVSHEDPEVKFNWYVDG hIgG1FcAK-AC
VEVHNAKTKPREEQYNSTYRVVSVLTVLHQDWLNGKEYKCKVSNKALPAP I Fc variant EKT I SKAKGQPREPQVYTLPPSRDELTKNQVSLTCLVKGFYPSD IAVEWES
NGQPENNYKTTPPVLDSDGSFFLYSKLTVDKSRWQQGNVFSCSVMHEALHN
HYTQKSLSLS PG
PPCPAPELLGGPSVFL FPPKPKDTLM I SRTPEVTCVVVDVSHEDPEVKFNW hIgG1FcAK-C Fc YVDGVEVHNAKTKPREEQYNSTYRVVSVLTVLHQDWLNGKEYKCKVSNKAL variant PAP I EKT I S KAKGQPREPQVYTLP PSRDEL TKNQVS LTCLVKGFYPSD IAV
EWESNGQPENNYKTTPPVLDSDGS FFLYSKLTVDKSRWQQGNVFSCSVMHE
ALHNHYTQKS L SL S PG
11 DKTHTCPPCPAPELLGGPSVFLFP PKPKDTLM I SRTPEVTCVVVDVSHEDP hIgG1FcAK-CC
EVKFNWYVDGVEVHNAKTKPREEQYNSTYRVVSVLTVLHQDWLNGKEYKCK Fc variant VSNKALPAP I EKT I S KAKGQPREPQVYTLP PSRDEL TKNQVSL TCLVKGFY
PSD IAVEWESNGQPENNYKTTPPVLDSDGS FFLYSKLTVDKSRWQQGNVFS
CSVMHEALHNHYTQKS L SL S PG
12 EPKS SDKTHTCPPCPAPELLGGPSVFLFPP KPKDTLM I SRTPEVTCVVVDV hIgG1FcAK-S Fc SHED PEVKFNWYVDGVEVHNAKTKPREEQYNSTYRVVSVLTVLHQDWLNGK variant EYKCKVSNKALPAP IE KT I S KAKGQPREPQVYTLPP SRDELTKNQVSLTCL
VKGFYPSD IAVEWESNGQPENNYKTTPPVLDSDGS F FLYS KLTVDKSRWQQ
GNVF S CSVMHEALHNHYTQKSL SL S PG
13 EPKS SDKTHTCPPCPAPELLGGPSVFLFPP KPKDTLM I SRTPEVTCVVVDV hIgG1AK-SS Fc SHED PEVKFNWYVDGVEVHNAKTKPREEQYNSTYRVVSVLTVLHQDWLNGK variant EYKCKVSNKALPAP IE KT I S KAKGQPREPQVYTLPP SRDELTKNQVSLTCL
VKGFYPSD IAVEWESNGQPENNYKTTPPVLDSDGS F FLYS KLTVDKSRWQQ
GNVF S CSVMHEALHNHYTQKSL SL S PG
14 EPKS SDKTHTS PPS PAPELLGGPSVFLFPP KPKDTLM I SRTPEVTCVVVDV hIgG1FcAK-SSS

SHEDPEVKFNWYVDGVEVHNAKTKPREEQYNSTYRVVSVLTVLHQDWLNGK Fc variant EYKCKVSNKALPAP IEKT I SKAKGQPREPQVYTLPP SRDELTKNQVSLTCL
VKGFYPSD IAVEWESNGQPENNYKTTPPVLDSDGSF FLYSKLTVDKSRWQQ
GNVF S CSVMHEALHNHYTQKSLSL S PG
15 APPVAGPSVFLFPPKPKDTLM I SRTPEVTCVVVDVSHEDPEVQFNWYVDGV hIgG2FGAK-AC
EVHNAKTKPREEQFNSTFRVVSVLTVVHQDWLNGKEYKCKVSNKGLPAP I E Fc variant KT I S KTKGQPREPQVYTLPPSREEMTKNQVSLTCLVKGFYPSD I SVEWESN
GQPENNYKTTPPMLDSDGSFFLYSKLTVDKSRWQQGNVFSCSVMHEALHNH
YTQKSLSLSPG
16 PPCPAPPVAGPSVFLF PPKPKDTLM I SRTPEVTCVVVDVSHED PEVQFNWY hIgG2FcAK-C Fc VDGVEVHNAKTKPREEQFNSTFRVVSVLTVVHQDWLNGKEYKCKVSNKGLP variant AP IEKT I SKTKGQPREPQVYTLPP SREEMTKNQVSL TCLVKGFYPSD I SVE
WESNGQPENNYKTTPPMLDSDGS F FLYS KL TVDKSRWQQGNVF S CSVMHEA
LHNHYTQKSL SLS PG
17 VECP PCPAPPVAGPSVFLFPPKPKDTLMI SRTPEVTCVVVDVSHEDPEVQF h IgG2FcAK-CC
NWYVDGVEVHNAKTKPREEQFNSTFRVVSVLTVVHQDWLNGKEYKCKVSNK Fc variant GLPAP IEKT I SKTKGQPREPQVYTLPPSREEMTKNQVSLTCLVKGFYPSD I
SVEWESNGQPENNYKTTPPMLDSDGSFFLYSKLTVDKSRWQQGNVFSCSVM
HEALHNHYTQKSLSLS PG
18 ERKC CVECPP CPAPPVAGPSVFLF PPKPKDTLm 1 SRTpEvrcvvvDvSHED hIgG2Fc-CCCC
PEVQFNWYVDGVEVHNAKTKPREEQFNSTFRVVSVLTVVHQDWLNGKEYKC Fc variant KVSNKGLPAP IEKT I S KTKGQPREPQVYTL PPSREEMTKNQVSLTCLVKGF
YPSD I SVEWE SNGQPENNYKTTPPMLDSDGS FFLYS KLTVDKS RWQQGNVF
SCSVMHEALHNHYTQKSLSLSPGK
19 ERKS SVECPP CPAPPVAGPSVFLF PPKPKDTLMI SRTPEVTCVVVDVSHED h IgG2FcAK-SS
PEVQFNWYVDGVEVHNAKTKPREEQFNSTFRVVSVLTVVHQDWLNGKEYKC Fc variant KVSNKGLPAP IEKT I S KTKGQPREPQVYTL PPSREEMTKNQVSLTCLVKGF
YPSD I SVEWE SNGQPENNYKTTPPMLDSDGS FFLYS KLTVDKS RWQQGNVF
S CSVMHEALHNHYTQKSLSLS PG
20 ERKS SVESPP CPAPPVAGPSVFLF PPKPKDTLMI SRTPEVTCVVVDVSHED h IgG2FcAK-SSS
PEVQFNWYVDGVEVHNAKTKPREEQFNSTFRVVSVLTVVHQDWLNGKEYKC Fc variant KVSNKGLPAP IEKT I S KTKGQPREPQVYTL PPSREEMTKNQVSLTCLVKGF
YPSD I SVEWE SNGQPENNYKTTPPMLDSDGS FFLYS KLTVDKS RWQQGNVF
S CSVMHEALHNHYTQKSLSLS PG
21 ERKS SVESPP SPAPPVAGPSVFLF PPKPKDTLMI SRTPEVTCVVVDVSHED h IgG2FcAK-SSSS
PEVQFNWYVDGVEVHNAKTKPREEQFNSTFRVVSVLTVVHQDWLNGKEYKC Fc variant KVSNKGLPAP IEKT I S KTKGQPREPQVYTL PPSREEMTKNQVSLTCLVKGF
YPSD I SVEWE SNGQPENNYKTTPPMLDSDGS FFLYS KLTVDKS RWQQGNVF
S CSVMHEALHNHYTQKSLSLS PG
22 APELLGGPSVFLFPPKP KDTLM I S RTPEVTCVVVDVSHEDPEVQF KWYVDG h Ig G3 FcAK-AC
VEVHNAKTKPREEQYNSTFRVVSVLTVLHQDWLNGKEYKCKVSNKALPAP I Fc variant EKT I SKTKGQPREPQVYTLPPSREEMTKNQVSLTCLVKGFYPSDIAVEWES
SGQPENNYNTTPPMLD SDGS FFLYS KLTVD KSRWQQGNI FS CSVMHEALHN
RFTQ KSLSLS PG
23 PRCPAPELLGGPSVFL FPPKPKDTLMI SRTPEVTCVVVDVSHEDPEVQFKW hIgG3FcAK-C Fc YVDGVEVHNAKTKPREEQYNSTFRVVSVLTVLHQDWLNGKEYKCKVSNKAL variant PAP I EKT I SKTKGQPREPQVYTLP PSREEMTKNQVSLTCLVKGFYPSD IAV
EWES SGQPENNYNTTP PMLDSDGS FFLYS KLTVDKS RWQQGNI FS CSVMHE
ALHNRFTQKSLSLSPG
24 DTPP PCPRCPAPELLGGPSVFLFP PKPKDTLMI SRTPEVTCVVVDVSHEDP h IgG3FcAK-CC
EVQFKWYVDGVEVHNAKTKPREEQYNSTFRVVSVLTVLHQDWLNGKEYKCK Fc variant VSNKALPAP I EKT I S KTKGQPREPQVYTLP PSREEMTKNQVSL TCLVKGFY
PSD IAVEWES SGQPENNYNTTPPMLDSDGS FFLYSKLTVDKSRWQQGNI FS
CSVMHEALHNRFTQKS LSLS PG
25 EPKS SDTPPP CPRCPAPELLGGPSVFLFPP KPKDTLMI SRTPEVTCVVVDV hIgG3FcAK-S Fc SHED PEVQFKWYVDGVEVHNAKTKPREEQYNSTFRVVSVLTVLHQDWLNGK variant EYKCKVSNKALPAP IEKT I SKTKGQPREPQVYTLPP SREEMTKNQVSLTCL
VKGFYPSD IAVEWESSGQPENNYNTTPPMLDSDGSF FLYSKLTVDKSRWQQ
GNI F SCSVMHEALHNRFTQKSLSL SPG
26 EPKS SDTPPP SPRCPAPELLGGPSVFLFPP KPKDTLMI SRTPEVTCVVVDV h IgG3FcAK-SS
SHED PEVQFKWYVDGVEVHNAKTKPREEQYNSTFRVVSVLTVLHQDWLNGK Fc variant EYKCKVSNKALPAP IEKT I SKTKGQPREPQVYTLPP SREEMTKNQVSLTCL

VKGFYPSD IAVEWESSGQPENNYNTTPPMLDSDGSFFLYSKLTVDKSRWQQ
GNI F S CSVMHEALHNRFTQKSLSL S PG
27 EPKS SDTPPP S PRS PAPELLGGPSVFLFPP KPKDTLM I SRTPEVTCVVVDV hIgG3FcAK-SSS
SHED PEVQFKWYVDGVEVHNAKTKPREEQYNSTFRVVSVLTVLHQDWLNGK Fc variant EYKCKVSNKALPAP IE KT I SKTKGQPREPQVYTLPP SREEMTKNQVSLTCL
VKGFYPSD IAVEWESSGQPENNYNTTPPMLDSDGSFFLYSKLTVDKSRWQQ
GNI F S CSVMHEALHNRFTQKSLSL S PG
28 APEFLGGPSVFLFPPKP KDTLM I S RTPEVTCVVVDVSQEDPEVQFNWYVDG hIgG4FcAK-AC
VEVHNAKTKPREEQFNSTYRVVSVLTVLHQDWLNGKEYKCKVSNKGLPSS I Fc variant EKT I SKAKGQPREPQVYTLPPSQEEMTKNQVSLTCLVKGFYPSD IAVEWES
NGQPENNYKTTPPVLDSDGSFFLYSRLTVDKSRWQEGNVFSCSVMHEALHN
HYTQKSLSLSLG
29 PS CPAPEFLGGPSVFL FPPKPKDTLM I SRTPEVTCVVVDVSQEDPEVQFNW hIgG4FcAK-C Fc YVDGVEVHNAKTKPREEQFNSTYRVVSVLTVLHQDWLNGKEYKCKVSNKGL variant PS S I EKT I SKAKGQPREPQVYTLP PSQEEMTKNQVS LTCLVKGFYPSD IAV
EWESNGQPENNYKTTPPVLDSDGSFFLYSRLTVDKSRWQEGNVFSCSVMHE
ALHNHYTQKSLSLSLG
30 ESKYGPPCPS CPAPEFLGGPSVFL FPPKPKDTLM I S RTPEVTCVVVDVSQE hIgG4FcAK-CC
DPEVQFNWYVDGVEVHNAKTKPREEQFNSTYRVVSVLTVLHQDWLNGKEYK Fc variant CKVSNKGLPS S IEKT I SKAKGQPREPQVYTLPPSQEEMTKNQVSLTCLVKG
FYPSD IAVEWESNGQPENNYKTTPPVLDSDGSFFLYSRLTVDKSRWQEGNV
FS CSVMHEALHNHYTQKSLSLSLG
31 ESKYGPPCPP CPAPEFLGGPSVFL FPPKPKDTLM I S RTPEVTCVVVDVSQE hIgG4FcAK-CC-DPEVQFNWYVDGVEVHNAKTKPREEQFNSTYRVVSVLTVLHQDWLNGKEYK 228P Fc variant CKVSNKGLPS S IEKT I SKAKGQPREPQVYTLPPSQEEMTKNQVSLTCLVKG
FYPSD IAVEWESNGQPENNYKTTPPVLDSDGSFFLYSRLTVDKSRWQEGNV
FS CSVMHEALHNHYTQKSLSLSLG
32 ESKYGPPCPP CPAPEFLGGPSVFL FPPKPKDTLM I S RTPEVTCVVVDVSQE hIgG4FcAK-CC-DPEVQFNWYVDGVEVHNAKTKPREEQFNSTYRVVSVLTVLHQDWLNGKEYK 228P-409K Fc CKVSNKGLPS S IEKT I SKAKGQPREPQVYTLPPSQEEMTKNQVSLTCLVKG variant FYPSD IAVEWESNGQPENNYKTTPPVLDSDGSFFLYSKLTVDKSRWQEGNV
FS CSVMHEALHNHYTQKSLSLSLG
33 ES KYGPPS PS CPAPE FLGGPSVFL FPPKPKDTLMI SRTPEVTCVVVDVSQE hIgG4FCAK-S Fc DPEVQFNWYVDGVEVHNAKTKPREEQFNS T YRVVSVL TVLHQDWLNGKEYK variant CKVSNKGL PS S I EKT I S KAKGQPREPQVYTL PPS QEEMTKNQVS LTCLVKG
FY PSD IAVEWESNGQ PENNYKTTP PVLDSDGS FFL Y SRL TVDKS RWQEGNV
FS CS VMHEALHNHYTQKS LS LS LG
34 ES KYGPPS PS S PA PEFLGGPSVFL FPPKPKDTLMI S RTPEVTCVVVDVSQE hIgG4 FCAK-SS
DPEVQFNWYVDGVEVHNAKTKPREEQFNS T YRVVSVLTVLHQDWLNGKEYK Fc variant CKVSNKGL PS S I EKT I S KAKGQ PREPQVYTL PPSQEEMTKNQVSL TCLVKG
FY PSD IAVEWESNGQPENNYKTTP PVLDSDGS FFL Y S RL TVDKSRWQEGNV
FS CS VMHEALHNHYTQKS LS LS LG

35 QLCKFCDVRFSTCDNQKSCMSNCS ITS I CE KPQEVCVAVWRKNDENI TLET T6R1I-ED
VCHDPKLPYHDF ILEDAASPKC IMKEKKKPGETFFMCS CS SDE CNDNI IF structured domain

36 I PPHVQKSVNNDM IVTDNNGAVKF P T6R1I-ED N-term unstructured region and natural linker

37 I PPHVQKSDVEMEAQKDE I I CPS CNRTAHPLRH INNDM IVTDNNGAVKFP T6R11b-ED N-term unstructured region and natural linker

38 I PPHVQKSDVEMEAQKDE I IAPSANRTAHPLRHINNDMIVTDNNGAVKFP T6R11b-ED Cys-mutated N-term unstructured region and natural linker

39 SEEYNTSNPD T6R1I-ED C-term unstructured region and natural linker

40 SEEYNTSNPD I PPHVQKSVNNDM IVTDNNGAVKFP T6R1I-ED natural linker

41 SEEYNTSNPD I PPHVQKSDVEMEAQKDE I I CPS CNRTAHPLRH INNDMIVT TpRIlb-ED
natural DNNGAVKF P linker

42 SEEYNTSNPD I PPHVQKSDVEMEAQKDE I IAPSANRTAHPLRHINNDMIVT TpRIlb-ED Cys-DNNGAVKFP mutated linker

43 I PPHVQKSVNNDM IVTDNNGAVKF PQLCKF CDVRFS TCDNQKS CMSNCS IT TI3R1I-ED
s I CE KPQEVCVAVWRKNDENI TLETVCHDP KLPYHD F I LEDAAS PKC IMKE monomer, also KKKPGETFFMCS CS SDECNDNI I F SEEYNTSNPD termed T2 or T2m

44 I PPHVQKSDVEMEAQKDE I I CPS CNRTAHPLRH INNDM IVTDNNGAVKFPQ TI3bRIlb-ED
LCKFCDVRFSTCDNQKSCMSNCS I TS I CEKPQEVCVAVWRKNDENI TLETV monomer, also CHDPKLPYHDF ILEDAASPKC IMKEKKKPGETFFMC S CS SDECNDNI I FSE termed T2b EYNTSNPD

45 I PPHVQKSDVEMEAQKDE I IAPSANRTAHPLRHINNDMIVTDNNGAVKFPQ TI3R11b-ED
LCKFCDVRFSTCDNQKSCMSNCS I TS I CEKPQEVCVAVWRKNDENI TLETV monomer Cys-CHDPKLPYHDF ILEDAASPKC IMKEKKKPGETFFMC S CS SDECNDNI I FSE mutated in the EYNTSNPD
linker region, also termed T2bAA

46 I PPHVQKSVNNDM IVTDNNGAVKF PQLCKF CDVRFS TCDNQKS CMSNCS IT TI3R1I-ED
dimer, s I CE KPQEVCVAVWRKNDENI TLETVCHDP KLPYHD F I LEDAAS PKC IMKE also termed T2-KKKPGETFFMCS CS SDECNDNI I F SEEYNTSNPD I P PHVQKSVNNDMIVTD T2or T22d35 NNGAVKFPQLCKFCDVRFSTCDNQKSCMSNCS ITS I CEKPQEVCVAVWRKN
DENI TLETVCHDPKLPYHDF ILEDAASPKC IMKEKKKPGETFFMCS CS SDE
CNDNI I FSEEYNTSNPD

47 I PPHVQKSDVEMEAQKDE I I CPS CNRTAHPLRH INNDM IVTDNNGAVKFPQ TI3R11b-ED
dimer, LCKFCDVRFSTCDNQKSCMSNCS I TS I CEKPQEVCVAVWRKNDENI TLETV also termed T2-CHDP KLPYHD F ILEDAASPKC IMKEKKKPGETFFMC S CS SDECNDNI I FSE T2b EYNTSNPD I P PHVQKSDVEMEAQKDE I I CP S CNRTAHPLRH INNDM IVTDN
NGAVKFPQLCKFCDVRFSTCDNQKSCMSNCS ITS I CEKPQEVCVAVWRKND
ENITLETVCHDPKLPYHDF ILEDAASPKC IMKEKKKPGETFFMCS CS SDEC
NDNI I FSEEYNTSNPD

48 I PPHVQKSDVEMEAQKDE I I CPS CNRTAHPLRH INNDM IVTDNNGAVKFPQ TI3R11b-ED
dimer LCKFCDVRFSTCDNQKSCMSNCS I TS I CEKPQEVCVAVWRKNDENI TLETV Cys-mutated in CHDPKLPYHDF ILEDAASPKC IMKEKKKPGETFFMC S CS SDECNDNI I FSE the linker region, EYNTSNPD I P PHVQKSDVEMEAQKDE I IAPSANRTAHPLRHINNDMIVTDN
NGAVKFPQLCKFCDVRFSTCDNQKSCMSNCS ITS I CEKPQEVCVAVWRKND also termed T2-AA
ENITLETVCHDPKLPYHDF ILEDAASPKC IMKEKKKPGETFFMCS CS SDEC T2b NDNI I FSEEYNTSNPD

49 I PPHVQKSVNNDM IVTDNNGAVKF PQLCKF CDVRFS TCDNQKS CMSNCS I T TI3R1I-ED
trimer, s I CE KPQEVCVAVWRKNDENI TLETVCHDP KLPYHD F I LEDAAS PKC IMKE also termed T2-NNGAVKFPQLCKFCDVRFSTCDNQKSCMSNCS ITS I CEKPQEVCVAVWRKN
DENI TLETVCHDPKLPYHDF ILEDAASPKC IMKEKKKPGETFFMCS CS SDE
CNDN I I FSEEYNTSNPD I PPHVQKSVNNDM IVTDNNGAVKFPQLCKFCDVR
FSTCDNQKSCMSNCS ITS I CEKPQEVCVAVWRKNDENI TLETVCHDPKLPY
HDF I LEDAAS PKC IMKEKKKPGETFFMCSCSSDECNDNI I FS EEYNTSNPD

50 I PPHVQKSVNNDM IVTDNNGAVKF PQLCKF CDVRFS TCDNQKS CMSNCS I T TI3R11b-ED
trimer, s I CE KPQEVCVAVWRKNDENI TLETVCHDP KLPYHD F I LEDAAS PKC IMKE also termed T2-KKKPGETFFMCS CS SDECNDNI I F SEEYNTSNPD I P PHVQKSDVEMEAQKD T2b-T2b El IC PS CNRTAHPLRH INNDM IVTDNNGAVKFPQLC KFCDVRFSTCDNQKS
CMSNCS ITS I CEKPQEVCVAVWRKNDENITLETVCHDPKLPYHDF ILEDAA
SPKC IMKEKKKPGETF FMCS CS SDECNDNI I FSEEYNTSNPD I PPHVQKSD
VEMEAQKDE I I CPS CNRTAHPLRH INNDM IVTDNNGAVKFPQLCKFCDVRF
STCDNQKSCMSNCS ITS I CEKPQEVCVAVWRKNDENI TLETVCHDPKLPYH
DF ILEDAAS P KC IMKEKKKPGETF FMCS CS SDECNDNI I FSEEYNTSNPD

51 I PPHVQKSVNNDM IVTDNNGAVKF PQLCKF CDVRFS TCDNQKS CMSNCS I T TI3R11b-ED
trimer s I CE KPQEVCVAVWRKNDENI TLETVCHDP KLPYHD F I LEDAAS PKC IMKE Cys-mutated in

52 KKKPGETFFMCS CS SDECNDNI I F SEEYNTSNPD I P PHVQKSDVEMEAQKD the linker regions, El IAPSANRTAHPLRHINNDMIVTDNNGAVKFPQLCKFCDVRFSTCDNQKS also termed T2-CMSNCS ITS I CEKPQEVCVAVWRKNDENITLETVCHDPKLPYHDF ILEDAA T2 bAA-T2bAA
SPKC IMKEKKKPGETF FMCS CS SDECNDNI I FSEEYNTSNPD I PPHVQKSD
VEMEAQKDE I IAPSANRTAHPLRHINNDMIVTDNNGAVKFPQLCKFCDVRF
STCDNQKSCMSNCS ITS I CEKPQEVCVAVWRKNDENI TLETVCHDPKLPYH
DF ILEDAAS P KC IMKE KKKPGETF FMCS CS SDECNDNI I FSEEYNTSNPD

FVCAPS S KTGSVTTTYCCNQDHCNKI EL structured domain

53 AALLPGAT WI-ED N-term unstructured region and natural linker

54 PTTVKSSPGLGPVE WI-ED C-term unstructured region and natural linker

55 PTTVKSSPGLGPVEAALLPGAT WI-ED natural linker

56 AALLPGATALQCFCHLCTKDNFTCVTDGLCFVSVTETTDKVIHNSMC IAE I TI3RI-ED
DL I PRDRPFVCAPS S KTGSVTTTYCCNQDHCNKI EL PTTVKS S PGLGPVE monomer, also termed Ti or Tim

57 AALLPGATALQCFCHLCTKDNFTCVTDGLCFVSVTETTDKVIHNSMC IAE I 113R1-ED dimer, DL I PRDRPFVCAPS SKTGSVTTTYCCNQDHCNKIEL PTTVKS S PGLGPVEA also termed T1-ALLPGATALQCFCHLCTKDNFTCVTDGLCFVSVTETTDKVIHNSMC IAE ID Ti L I PRDRPFVCAPS S KTGSVTTTYC CNQDHCNKI ELP TTVKS S PGLGPVE

58 PTTVKSSPGLGPVE I P PHVQKSVNNDM IVTDNNGAVKFP WI-T8R1I-ED
natural linker

59 PTTVKSSPGLGPVE I P PHVQKSDVEMEAQKDE I I CP S CNRTAHPLRH INND TpRi-TpRIlb-ED
MIVTDNNGAVKFP natural linker

60 SEEYNTSNPDAALLPGAT WU-WI-ED
natural linker

61 AALLPGATALQCFCHLCTKDNFTCVTDGLCFVSVTETTDKVIHNSMC IAE I TI3RI-T8R1I-ED
DL I PRDRPFVCAPS S KTGSVTTTYCCNQDHCNKI EL PTTVKS S PGLGPVE I dimer T1-T2 PPHVQKSVNNDM IVTDNNGAVKFPQLCKFCDVRFSTCDNQKS CMSNCS ITS
I CEKPQEVCVAVWRKNDENI TLETVCHDPKLPYHDF I LEDAAS PKC IMKEK
KKPGETFFMC S CS SDE CNDNI I FS EEYNTSNPD

62 AALLPGATALQCFCHLCTKDNFTCVTDGLCFVSVTETTDKVIHNSMC IAE I TI3RI-T8R1I-ED
DL I PRDRPFVCAPS S KTGSVTTTYCCNQDHCNKI EL PTTVKS S PGLGPVE I dimer Ti-T2b PPHVQKSDVEMEAQKDE I I CPS CNRTAHPLRH INNDM IVTDNNGAVKFPQL
CKFCDVRFSTCDNQKS CMSNCS ITS I CEKPQEVCVAVWRKNDENI TLETVC
HDPKLPYHDF ILEDAASPKC IMKEKKKPGETFFMCS CS SDECNDNI I FSEE
YNTSNPD

63 I PPHVQKSVNNDM IVTDNNGAVKF PQLCKF CDVRFS TCDNQKS CMSNCS IT TPRI-T8R1I-ED
s I CE KPQEVCVAVWRKNDENI TLETVCHDP KLPYHD F I LEDAAS PKC IMKE dimer T2-T1 KKKPGETFFMCS CS SDECNDNI I F SEEYNTSNPDAALLPGATALQCFCHLC
TKDNFTCVTDGLCFVSVTETTDKVIHNSMC IAE IDL I PRDRPFVCAPS SKT
GSVTTTYCCNQDHCNKIELPTTVKSSPGLGPVE

64 AALLPGATALQCFCHLCTKDNFTCVTDGLCFVSVTETTDKVIHNSMC IAE I 113R1-1-8R11-ED
DL I PRDRPFVCAPS S KTGSVTTTYCCNQDHCNKI EL PTTVKS S PGLGPVE I trimer Ti-T2-T2 PPHVQKSVNNDM IVTDNNGAVKFPQLCKFCDVRFSTCDNQKS CMSNCS ITS
I CEKPQEVCVAVWRKNDENI TLETVCHDPKLPYHDF I LEDAAS PKC IMKEK
KKPGETFFMC S CS SDE CNDNI I FS EEYNTSNPD I PPHVQKSVNNDM IVTDN
NGAVKFPQLCKFCDVRFSTCDNQKSCMSNCS ITS I CEKPQEVCVAVWRKND
ENITLETVCHDPKLPYHDF ILEDAASPKC IMKEKKKPGETFFMCS CS SDEC
NDNI I FSEEYNTSNPD

65 AALLPGATALQCFCHLCTKDNFTCVTDGLCFVSVTETTDKVIHNSMC IAE I TI3RI-T8R1I-ED
DL I PRDRPFVCAPS S KTGSVTTTYCCNQDHCNKI EL PTTVKS S PGLGPVE I trimer Ti-T2-T2b PPHVQKSVNNDM IVTDNNGAVKFPQLCKFCDVRFSTCDNQKS CMSNCS ITS

I CEKPQEVCVAVWRKNDENI TLETVCHDPKLPYHDF I LEDAAS PKC IMKEK
KKPGETFFMC S CS SDE CNDNI I FS EEYNTSNPD I PPHVQKSDVEMEAQKDE
I I CP S CNRTAHPLRH I NNDM IVTDNNGAVKFPQLCKFCDVRF STCDNQKS C
MSNCS ITS I CEKPQEVCVAVWRKNDENI TLETVCHD PKLPYHD F I LEDAAS
PKC IMKEKKKPGETFFMCS CS SDE CNDNI I FSEEYNTSNPD

66 AALLPGATALQCFCHLCTKDNFTCVTDGLCFVSVTETTDKVIHNSMC IAE I TI3RI-T8R1I-ED
DL I PRDRPFVCAPS S KTGSVTTTYCCNQDHCNKI EL PTTVKS S PGLGPVE I trimer T1-T2-PPHVQKSDVEMEAQKDE I I CPS CNRTAHPLRH INNDM IVTDNNGAVKFPQL T2 bAA
CKFCDVRFSTCDNQKS CMSNCS ITS I CEKPQEVCVAVWRKNDENI TLETVC
HDPKLPYHDF ILEDAASPKC IMKEKKKPGETFFMCS CS SDECNDNI I FSEE
YNTSNPD I PPHVQKSDVEMEAQKDE I IAPSANRTAHPLRHINNDMIVTDNN
GAVKFPQLCKFCDVRFSTCDNQKS CMSNCS ITS I CE KPQEVCVAVWRKNDE
NI TLETVCHD PKLPYHDF ILEDAASPKC IMKEKKKPGETFFMC S CS SDECN
DNI I FSEEYNTSNPD

67 I PPHVQKSVNNDM IVTDNNGAVKF PQLCKF CDVRFS TCDNQKS CMSNCS IT TPRI-T8R1I-ED
s I CE KPQEVCVAVWRKNDENI TLETVCHDP KLPYHD F I LEDAAS PKC IMKE trimer T2-T2-T1 KKKPGETFFMCS CS SDECNDNI I F SEEYNTSNPD I P PHVQKSVNNDM IVTD
NNGAVKFPQLCKFCDVRFSTCDNQKSCMSNCS ITS I CEKPQEVCVAVWRKN
DENI TLETVCHDPKLPYHDF ILEDAASPKC IMKEKKKPGETFFMCS CS SDE
CNDN I I FSEEYNTSNPDAALLPGATALQCF CHLCTKDNFTCVTDGLCFVSV
TETTDKVIHNSMC IAE IDL I PRDRPFVCAP S SKTGSVTTTYCCNQDHCNKI
ELPTTVKSSPGLGPVE

68 I PPHVQKSVNNDM IVTDNNGAVKF PQLCKF CDVRFS TCDNQKS CMSNCS IT T8RI-T8R1I-ED
s I CE KPQEVCVAVWRKNDENI TLETVCHDP KLPYHD F I LEDAAS PKC IMKE timer T2-T2bAA-KKKPGETFFMCS CS SDECNDNI I F SEEYNTSNPD I P PHVQKSDVEMEAQKD Ti El IAPSANRTAHPLRHINNDMIVTDNNGAVKFPQLCKFCDVRFSTCDNQKS
CMSNCS ITS I CEKPQEVCVAVWRKNDENITLETVCHDPKLPYHDF ILEDAA
SPKC IMKEKKKPGETF FMCS CS SDECNDNI I FSEEYNTSNPDAALLPGATA
LQCFCHLCTKDNFTCVTDGLCFVSVTETTDKVIHNSMC IAE IDL I PRDRPF
VCAPSSKTGSVTTTYCCNQDHCNKIELPTTVKSSPGLGPVE

69 TLPFLKCYCSGHCPDDAINNTC I TNGHCFA I IEEDDQGETTLASGCMKYEG BMPRIa-ED
SDFQCKDSPKAQLRRT IECCRTNLCNQYLQPTLP
structured domain

70 QNLDSMLHGTGMKSDSDQKKSENGVTLAPED BMPRIa-ED N-term unstructured region and natural linker

71 PVVIGPFFDGS IR BMPRIa-ED C-term unstructured region and natural linker

72 PVVIGPFFDGS I RQNLDSMLHGTGMKSDSDQKKSENGVTLAPED BMPRIa-ED
natural linker

73 QNLD SMLHGTGMKSDSDQKKSENGVTLAPEDTLPFL KCYCSGHCPDDAINN BMPRIa-ED
TC I TNGHCFA I IEEDDQGETTLASGCMKYEGSDFQCKDSPKAQLRRTIECC monomer RTNLCNQYLQPTLPPVVIGPFFDGS IR

74 QNLD SMLHGTGMKSDSDQKKSENGVTLAPEDTLPFL KCYCSGHCPDDAINN BMPRIa-ED
TC I TNGHCFA I IEEDDQGETTLASGCMKYEGSDFQCKDSPKAQLRRTIECC dimer RTNLCNQYLQPTLPPVVIGPFFDGS I RQNLDSMLHGTGMKSDSDQKKSENG
VTLAPEDTLPFLKCYCSGHCPDDAINNTC I TNGHCFAI IEEDDQGETTLAS
GCMKYEGSDFQCKDS P KAQLRRT I ECCRTNLCNQYLQPTLPPVVIGPFFDG
SIR

75 TQECLFFNANWEKDRTNQTGVEPCYGDKDKRRHCFATWKNISGS I E IVKQG ActRIla-ED
CWLDD INCYDRTDCVEKKDSPEVYFCCCEGNMCNEKFSYFP
structured domain

76 AILGRSE ActRIla-ED N-term unstructured region and natural linker

77 EMEVTQPTSNPVTPKPPYYNI ActRIla-ED C-term unstructured region and natural linker

78 EMEVTQPTSNPVTPKPPYYNIAILGRSE ActRI la-ED
natural linker

79 AILGRSETQECLFFNANWEKDRTNQTGVEPCYGDKDKRRHCFATWKNISGS ActRIla-ED
IE IVKQGCWLDD INCYDRTDCVEKKDSPEVYFCCCEGNMCNEKFSYFPEME monomer VTQPTSNPVTPKPPYYNI

80 AILGRsETQEcLFFNANwEKDRTNQTGvEpcyGDKDKRRHcFATwicmisGs ActRIla-ED dimer IE IVKQGCWLDD INCYDRTDCVEKKDSPEVYFCCCEGNMCNEKFSYFPEME
VTQP TSNPVTPKPPYYNIAI LGRS ETQECL FFNANWEKDRTNQTGVEPCYG
DKDKRRHCFATWKNISGS I E IVKQGCWLDD INCYDRTDCVEKKDSPEVYFC
CCEGNMCNEKFSYFPEMEVTQPTSNPVTPKPPYYNI

81 REC I YYNANWELERTNQSGLERCEGEQDKRLHCYASWRNS SGT IELVKKGC ActRIlb-ED
WLDDFNCYDRQECVATEENPQVYFCCCEGNFCNERFTHLP structured domain

82 SGRGEAET ActRIlb-ED N-term unstructured region and natural linker

83 EAGGPEVTYEPPPTAPT ActRIlb-ED C-term unstructured region and natural linker

84 EAGGPEVTYEPPPTAPTSGRGEAET ActRI lb-ED
natural linker

85 SGRGEAETREC IYYNANWELERTNQSGLERCEGEQDKRLHCYASWRNSSGT ActRIlb-ED
IELVKKGCWLDDFNCYDRQECVATEENPQVYFCCCEGNFCNERFTHLPEAG monomer GPEVTYEPPPTAPT

86 SGRGEAETREC IYYNANWELERTNQSGLERCEGEQDRRLHCYASWRNSSGT ActRIlb-ED dimer I ELVKKGCWLDDFNCYDRQECVATEENPQVYFCCCEGNFCNERFTHLPEAG
GPEVTYEPPPTAPTSGRGEAETREC IYYNANWELERTNQSGLERCEGEQDK
RLHCYASWRNS SGT I ELVKKGCWLDDFNCYDRQECVATEENPQVYFCCCEG
NFCNERFTHLPEAGGPEVTYEPPPTAPT

87 EMEVTQPTSNPVTPKPPYYNIQNLDSMLHGTGMKSDSDQKKSENGVTLAPE ActRIla-BMPRIa-D ED natural linker

88 AILGRsETQEcLFFNANwEKDRTNQTGvEpcyGDKDKRRHcFATwicmisGs ActRIla-BMPRIa-IEIVKQGCWLDDINCYDRTDCVEKKDSPEVYFCCCEGNMCNEKFSYFPEME ED dimer VTQP TSNPVTPKPPYYNI QNLDSMLHGTGMKSDSDQKKSENGVTLAPEDTL
PFLKCYCSGHCPDDAINNTC I TNGHCFAI I EEDDQGETTLASGCMKYEGSD
FQCKDSPKAQLRRTIECCRTNLCNQYLQPTLPPVVIGPFFDGS IR

89 MDWTWR I LFLVAAATGTHA Signal peptide

90 MVLQTQVF I S LLLW I SGAYG Signal peptide

91 APELLGGPSVFLFPPKP KDTLM I S RTPEVTCVVVDVSHEDPEVKFNWYVDG hIgG1FcAK-AC-VEVHNAKTKPREEQYNSTYRVVSVLTVLHQDWLNGKEYKCKVSNKALPAP I T2m fusion EKT I SKAKGQPREPQVYTLPPSRDELTKNQVSLTCLVKGFYPSD IAVEWES
NGQPENNYKTTPPVLDSDGSFFLYSKLTVDKSRWQQGNVFSCSVMHEALHN
HYTQKSLSLS PG I PPHVQKSVNNDM IVTDNNGAVKF PQLCKFCDVRFSTCD
NQKS CMSNCS ITS I CEKPQEVCVAVWRKNDENITLETVCHDPKLPYHDF IL
EDAASPKC IMKEKKKPGETFFMCS CS SDECNDNI I F SEEYNTSNPD

92 PPCPAPELLGGPSVFL FPPKPKDTLM I SRTPEVTCVVVDVSHEDPEVKFNW hIgG1FcAK-C-YVDGVEVHNAKTKPREEQYNSTYRVVSVLTVLHQDWLNGKEYKCKVSNKAL T2m fusion PAP I EKT I SKAKGQPREPQVYTLP PSRDEL TKNQVS LTCLVKGFYPSD IAV
EWESNGQPENNYKTTPPVLDSDGS FFLYSKLTVDKSRWQQGNVFSCSVMHE
ALHNHYTQKS LSLS PG I PPHVQKSVNNDM IVTDNNGAVKFPQLCKFCDVRF
STCDNQKSCMSNCS ITS I CEKPQEVCVAVWRKNDENITLETVCHDPKLPYH
DF ILEDAAS P KC IMKE KKKPGETF FMCS CS SDECNDNI I FSEEYNTSNPD

93 DKTHTCPPCPAPELLGGPSVFLFP PKPKDTLM I SRTPEVTCVVVDVSHEDP hIgG1FcAK-CC-EVKFNWYVDGVEVHNAKTKPREEQYNSTYRVVSVLTVLHQDWLNGKEYKCK T2m fusion VSNKALPAP I EKT I S KAKGQPREPQVYTLP PSRDEL TKNQVSL TCLVKGFY
PSD IAVEWESNGQPENNYKTTPPVLDSDGS FFLYSKLTVDKSRWQQGNVFS

CSVMHEALHNHYTQKS LSLS PG I P PHVQKSVNNDM IVTDNNGAVKFPQLC K
FCDVRFSTCDNQKSCMSNCS ITS I CEKPQEVCVAVWRKNDENI TLETVCHD
PKLPYHDF ILEDAAS P KC IMKEKKKPGETF FMCS CS SDECNDNI I FSEEYN
TSNPD

94 APPVAGPSVFLFPPKPKDTLM I SRTPEVTCVVVDVSHEDPEVQFNWYVDGV hIgG2FGAK-AC-EVHNAKTKPREEQFNSTFRVVSVLTVVHQDWLNGKEYKCKVSNKGLPAP I E T2m fusion KT I S KTKGQPREPQVYTLPPSREEMTKNQVSLTCLVKGFYPSD I SVEWESN
GQPENNYKTTPPMLDSDGSFFLYSKLTVDKSRWQQGNVFSCSVMHEALHNH
YTQKSLSLS PG I PPHVQKSVNNDM IVTDNNGAVKFPQLCKFCDVRFSTCDN
QKSCMSNCS ITS I CEKPQEVCVAVWRKNDENI TLETVCHDPKL PYHDF ILE
DAAS PKC IMKEKKKPGETFFMCSCSSDECNDNI I FS EEYNTSNPD

95 PPCPAPPVAGPSVFLF PPKPKDTLM I SRTPEVTCVVVDVSHED PEVQFNWY hIgG2FGAK-C-VDGVEVHNAKTKPREEQFNSTFRVVSVLTVVHQDWLNGKEYKCKVSNKGLP T2m fusion AP IE KT I SKTKGQPRE PQVYTLPP SREEMTKNQVSL TCLVKGFYPSD I SVE
WESNGQPENNYKTTPPMLDSDGS F FLYS KL TVDKSRWQQGNVF S CSVMHEA
LHNHYTQKSL SLS PG I PPHVQKSVNNDMIVTDNNGAVKFPQLCKFCDVRFS
TCDNQKSCMSNCS ITS I CEKPQEVCVAVWRKNDENI TLETVCHDPKLPYHD
F ILEDAASPKC IMKEKKKPGETFFMCS CS SDECNDNI I FSEEYNTSNPD

96 APPVAGPSVFLFPPKP KDTLM I SRTPEVTCVVVDVSHEDPEVQFNWYVDGV hIgG2FGAK-CC-EVHNAKTKPREEQFNSTFRVVSVLTVVHQDWLNGKEYKCKVSNKGLPAP I E T2m fusion KT I S KTKGQPREPQVYTLPPSREEMTKNQVSLTCLVKGFYPSD I SVEWESN
GQPENNYKTTPPMLDSDGSFFLYSKLTVDKSRWQQGNVFSCSVMHEALHNH
YTQKSLSLS PG I PPHVQKSVNNDM IVTDNNGAVKFPQLCKFCDVRFSTCDN
QKSCMSNCS ITS I CEKPQEVCVAVWRKNDENI TLETVCHDPKL PYHDF ILE
DAAS PKC IMKEKKKPGETFFMCSCSSDECNDNI I FS EEYNTSNPD

97 MDWTWR ILFLVAAATGTHAERKCCVECPPC PAPPVAGPSVFLF PPKPKDTL hIgG2Fc-CCCC-M I SRTPEVTCVVVDVSHEDPEVQFNWYVDGVEVHNAKTKPREEQFNSTFRV T2 fusion, also VSVLTVVHQDWLNGKEYKCKVSNKGLPAP I EKT I S KTKGQPRE PQVYTLPP termed Fc-T2m SREEMTKNQVSLTCLVKGFYPSD I SVEWESNGQPENNYKTTPPMLDSDGS F
FLYS KLTVDKSRWQQGNVFS CSVMHEALHNHYTQKS LSLS PGKI PPHVQKS
VNNDMIVTDNNGAVKFPQLCKFCDVRFSTCDNQKSCMSNCS ITS I CEKPQE
VCVAVWRKNDENITLETVCHDPKLPYHDF I LEDAAS PKC IMKEKKKPGETF
FMCS CS SDECNDNI I F SEEYNTSNPD

98 ESKYGPPCPP CPAPEFLGGPSVFL FPPKPKDTLM I S RTPEVTCVVVDVSQE hIgG4FGAK-CC-DPEVQFNWYVDGVEVHNAKTKPREEQFNSTYRVVSVLTVLHQDWLNGKEYK 228P-T2m fusion CKVSNKGLPS S IEKT I SKAKGQPREPQVYTLPPSQEEMTKNQVSLTCLVKG
FYPSD IAVEWESNGQPENNYKTTPPVLDSDGSFFLYSRLTVDKSRWQEGNV
FS CSVMHEALHNHYTQKSLSLSLG I PPHVQKSVNNDM IVTDNNGAVKFPQL
CKFCDVRFSTCDNQKS CMSNCS ITS I CEKPQEVCVAVWRKNDENI TLETVC
HDPKLPYHDF ILEDAASPKC IMKEKKKPGETFFMCS CS SDECNDNI I FSEE
YNTSNPD

99 ESKYGPPCPP CPAPEFLGGPSVFL FPPKPKDTLM I S RTPEVTCVVVDVSQE hIgG4FGAK-CC-DPEVQFNWYVDGVEVHNAKTKPREEQFNSTYRVVSVLTVLHQDWLNGKEYK 228P-409K-T2m CKVSNKGLPS S IEKT I SKAKGQPREPQVYTLPPSQEEMTKNQVSLTCLVKG =
tusion FYPSD IAVEWESNGQPENNYKTTPPVLDSDGSFFLYSKLTVDKSRWQEGNV
FS CSVMHEALHNHYTQKSLSLSLG I PPHVQKSVNNDM IVTDNNGAVKFPQL
CKFCDVRFSTCDNQKS CMSNCS ITS I CEKPQEVCVAVWRKNDENI TLETVC
HDPKLPYHDF ILEDAASPKC IMKEKKKPGETFFMCS CS SDECNDNI I FSEE
YNTSNPD

100 PPCPAPELLGGPSVFL FPPKPKDTLM I SRTPEVTCVVVDVSHEDPEVKFNW h Ig G1 FcAK-C-YVDGVEVHNAKTKPREEQYNSTYRVVSVLTVLHQDWLNGKEYKCKVSNKAL T22d35 fusion PAP I EKT I SKAKGQPREPQVYTLP PSRDEL TKNQVS LTCLVKGFYPSD IAV
EWESNGQPENNYKTTPPVLDSDGS FFLYSKLTVDKSRWQQGNVFSCSVMHE
ALHNHYTQKS LSLS PG I PPHVQKSVNNDM IVTDNNGAVKFPQLCKFCDVRF
STCDNQKSCMSNCS ITS I CEKPQEVCVAVWRKNDENI TLETVCHDPKLPYH
DF ILEDAAS P KC IMKE KKKPGETF FMCS CS SDECNDNI I FSEEYNTSNPD I
PPHVQKSVNNDMIVTDNNGAVKFPQLCKFCDVRFSTCDNQKS CMSNCS ITS
I CEKPQEVCVAVWRKNDENI TLETVCHDPKLPYHDF I LEDAAS PKC IMKEK
KKPGETFFMC S CS SDE CNDNI I FS EEYNTSNPD

101 DKTHTCPPCPAPELLGGPSVFLFP PKPKDTLM I SRTPEVTCVVVDVSHEDP h Ig G1 FcAK-CC-EVKFNWYVDGVEVHNAKTKPREEQYNS TYRVVSVLTVLHQDWLNGKEYKCK T22d35 fusion VSNKALPAP I EKT I S KAKGQPREPQVYTLP PSRDEL TKNQVSL TCLVKGFY

PSD IAVEWESNGQPENNYKTTPPVLDSDGS FFLYSKLTVDKSRWQQGNVFS
CSVMHEALHNHYTQKS LSLS PG I P PHVQKSVNNDM IVTDNNGAVKFPQLC K
FCDVRFSTCDNQKSCMSNCS ITS I CEKPQEVCVAVWRKNDENI TLETVCHD
PKLPYHDF ILEDAAS P KC IMKEKKKPGETF FMCS CS SDECNDNI I FSEEYN
TSNPD I PPHVQKSVNNDM IVTDNNGAVKFPQLCKFCDVRFSTCDNQKS CMS
NCS ITS I CEKPQEVCVAVWRKNDENI TLETVCHDPKLPYHDF I LEDAAS PK
C IMKEKKKPGETFFMC S CS SDECNDNI I FS EEYNTSNPD

102 VECP PCPAPPVAGPSVFLFPPKPKDTLM I S RTPEVTCVVVDVSHEDPEVQF hIgG2FGAK-CC-NWYVDGVEVHNAKTKPREEQFNSTFRVVSVLTVVHQDWLNGKEYKCKVSNK T22d35 fusion GLPAP IEKT I SKTKGQPREPQVYTLPPSREEMTKNQVSLTCLVKGFYPSD I
SVEWESNGQPENNYKTTPPMLDSDGSFFLYSKLTVDKSRWQQGNVFSCSVM
HEALHNHYTQKSLSLS PG I PPHVQKSVNNDM IVTDNNGAVKF PQLCKFCDV
RFSTCDNQKS CMSNCS ITS I CEKPQEVCVAVWRKNDENI TLETVCHDPKLP
YHDF ILEDAASPKC IMKEKKKPGETFFMCS CS SDECNDNI I FS EEYNTSNP
D I PPHVQKSVNNDM IVTDNNGAVKFPQLCKFCDVRF STCDNQKS CMSNCS I
TS I CEKPQEVCVAVWRKNDENI TLETVCHD PKLPYHDF I LEDAAS PKC IMK
EKKKPGETFFMCS CS SDECNDNI I FSEEYNTSNPD

103 ESKYGPPCPP CPAPEFLGGPSVFL FPPKPKDTLM I S RTPEVTCVVVDVSQE hIgG4FGAK-CC-DPEVQFNWYVDGVEVHNAKTKPREEQFNSTYRVVSVLTVLHQDWLNGKEYK 228P-T22d35 CKVSNKGLPS S IEKT I SKAKGQPREPQVYTLPPSQEEMTKNQVSLTCLVKG =
fusion FYPSD IAVEWESNGQPENNYKTTPPVLDSDGSFFLYSRLTVDKSRWQEGNV
FS CSVMHEALHNHYTQKSLSLSLG I PPHVQKSVNNDM IVTDNNGAVKFPQL
CKFCDVRFSTCDNQKS CMSNCS ITS I CEKPQEVCVAVWRKNDENI TLETVC
HDPKLPYHDF ILEDAASPKC IMKEKKKPGETFFMCS CS SDECNDNI I FSEE
YNTSNPD I PPHVQKSVNNDM IVTDNNGAVKFPQLCKFCDVRF STCDNQKS C
MSNCS ITS I CEKPQEVCVAVWRKNDENI TLETVCHD PKLPYHD F I LEDAAS
PKC IMKEKKKPGETFFMCS CS SDE CNDNI I FSEEYNTSNPD

104 ESKYGPPCPP CPAPEFLGGPSVFL FPPKPKDTLM I S RTPEVTCVVVDVSQE hIgG4FGAK-CC-CKVSNKGLPS S IEKT I SKAKGQPREPQVYTLPPSQEEMTKNQVSLTCLVKG T22d35 fusion FYPSD IAVEWESNGQPENNYKTTPPVLDSDGSFFLYSKLTVDKSRWQEGNV
FS CSVMHEALHNHYTQKSLSLSLG I PPHVQKSVNNDM IVTDNNGAVKFPQL
CKFCDVRFSTCDNQKS CMSNCS ITS I CEKPQEVCVAVWRKNDENI TLETVC
HDPKLPYHDF ILEDAASPKC IMKEKKKPGETFFMCS CS SDECNDNI I FSEE
YNTSNPD I PPHVQKSVNNDM IVTDNNGAVKFPQLCKFCDVRF STCDNQKS C
MSNCS ITS I CEKPQEVCVAVWRKNDENI TLETVCHD PKLPYHD F I LEDAAS
PKC IMKEKKKPGETFFMCS CS SDE CNDNI I FSEEYNTSNPD

105 MDWTWR I LFLVAAATGTHAERKCCVECPPC PAPPVAGPSVFLF PPKPKDTL h Ig G2 Fc-CCCC-m I SRTPEVTCVVVDVSHEDPEVQFNWYVDGVEVHNAKTKPREEQFNSTFRV T22d35 fusion, VSVLTVVHQDWLNGKEYKCKVSNKGLPAP I EKT I S KTKGQPRE PQVYTLPP also termed Fc-SREEMTKNQVSLTCLVKGFYPSD I SVEWESNGQPENNYKTTPPMLDSDGS F
T22d35 FLYS KLTVDKSRWQQGNVFS CSVMHEALHNHYTQKS LSLS PGKI PPHVQKS
VNNDMIVTDNNGAVKFPQLCKFCDVRFSTCDNQKSCMSNCS ITS I CEKPQE
VCVAVWRKNDENITLETVCHDPKLPYHDF I LEDAAS PKC IMKEKKKPGETF
FMCS CS SDECNDNI I F SEEYNTSNPD I PPHVQKSVNNDM IVTDNNGAVKFP
QLCKFCDVRFSTCDNQKSCMSNCS ITS I CE KPQEVCVAVWRKNDENI TLET
VCHDPKLPYHDF ILEDAASPKC IMKEKKKPGETFFMCS CS SDE CNDNI IFS
EEYNTSNPD

106 PPCPAPELLGGPSVFL FPPKPKDTLM I SRTPEVTCVVVDVSHEDPEVKFNW hIgG1FGAK-C-T2-YVDGVEVHNAKTKPREEQYNSTYRVVSVLTVLHQDWLNGKEYKCKVSNKAL T2bAA fusion PAP I EKT I SKAKGQPREPQVYTLP PSRDEL TKNQVS LTCLVKGFYPSD IAV
EWESNGQPENNYKTTPPVLDSDGS FFLYSKLTVDKSRWQQGNVFSCSVMHE
ALHNHYTQKS LSLS PG I PPHVQKSVNNDM IVTDNNGAVKFPQLCKFCDVRF
STCDNQKSCMSNCS ITS I CEKPQEVCVAVWRKNDENI TLETVCHDPKLPYH
DF ILEDAAS P KC IMKE KKKPGETF FMCS CS SDECNDNI I FSEEYNTSNPD I
PPHVQKSDVEMEAQKDE I IAPSANRTAHPLRHINNDMIVTDNNGAVKFPQL
CKFCDVRFSTCDNQKS CMSNCS ITS I CEKPQEVCVAVWRKNDENI TLETVC
HDPKLPYHDF ILEDAASPKC IMKEKKKPGETFFMCS CS SDECNDNI I FSEE
YNTSNPD

107 DKTHTCPPCPAPELLGGPSVFLFP PKPKDTLM I SRTPEVTCVVVDVSHEDP hIgG1FGAK-CC-EVKFNWYVDGVEVHNAKTKPREEQYNSTYRVVSVLTVLHQDWLNGKEYKCK T2-T2bAA fusion VSNKALPAP I EKT I S KAKGQPREPQVYTLP PSRDEL TKNQVSL TCLVKGFY

PSD IAVEWESNGQPENNYKTTPPVLDSDGS FFLYS KLTVDKSRWQQGNVFS
CSVMHEALHNHYTQKS LSLS PG I P PHVQKSVNNDM IVTDNNGAVKFPQLCK
FCDVRFSTCDNQKSCMSNCS ITS I CEKPQEVCVAVWRKNDENITLETVCHD
PKLPYHDF ILEDAAS P KC IMKEKKKPGETF FMCS CS SDECNDNI I FSEEYN
TSNPD I PPHVQKSDVEMEAQKDE I IAPSANRTAHPLRHINNDMIVTDNNGA
VKFPQLCKFCDVRFSTCDNQKSCMSNCS ITS I CEKPQEVCVAVWRKNDENI
TLETVCHDPKLPYHDF ILEDAAS P KC IMKEKKKPGETFFMCSCSSDECNDN
I IFS EEYNTSNPD

108 VECP PCPAPPVAGPSVFLFPPKPKDTLM I S RTPEVTCVVVDVSHEDPEVQF h Ig G2 FcAK-CC-NWYVDGVEVHNAKTKPREEQFNSTFRVVSVLTVVHQDWLNGKEYKCKVSNK T2-T2bAA fusion GLPAP IEKT I SKTKGQPREPQVYTLPPSREEMTKNQVSLTCLVKGFYPSD I
SVEWESNGQPENNYKTTPPMLDSDGSFFLYSKLTVDKSRWQQGNVFSCSVM
HEALHNHYTQKSLSLS PG I PPHVQKSVNNDM IVTDNNGAVKFPQLCKFCDV
RFSTCDNQKS CMSNCS ITS I CEKPQEVCVAVWRKNDENI TLETVCHDPKLP
YHDF ILEDAASPKC IMKEKKKPGETFFMCS CS SDECNDNI I FS EEYNTSNP
D I PPHVQKSDVEMEAQKDE I IAPSANRTAHPLRHINNDMIVTDNNGAVKFP
QLCKFCDVRFSTCDNQKSCMSNCS ITS I CEKPQEVCVAVWRKNDENI TLET
VCHDPKLPYHDF ILEDAASPKC IMKEKKKPGETFFMCS CS SDE CNDNI IFS
EEYNTSNPD

109 ESKYGPPCPP CPAPEFLGGPSVFL FPPKPKDTLM I S RTPEVTCVVVDVSQE h Ig G4 FcAK-CC-DPEVQFNWYVDGVEVHNAKTKPREEQFNSTYRVVSVLTVLHQDWLNGKEYK 228P-T2-T2bAA
CKVSNKGLPS S IEKT I SKAKGQPREPQVYTLPPSQEEMTKNQVSLTCLVKG =
fusion FYPSD IAVEWESNGQPENNYKTTPPVLDSDGSFFLYSRLTVDKSRWQEGNV
FS CSVMHEALHNHYTQKSLSLSLG I PPHVQKSVNNDM IVTDNNGAVKFPQL
CKFCDVRFSTCDNQKS CMSNCS ITS I CEKPQEVCVAVWRKNDENI TLETVC
HDPKLPYHDF ILEDAASPKC IMKEKKKPGETFFMCS CS SDECNDNI I FSEE
YNTSNPD I PPHVQKSDVEMEAQKDE I IAPSANRTAHPLRHINNDMIVTDNN
GAVKFPQLCKFCDVRFSTCDNQKS CMSNCS ITS I CE KPQEVCVAVWRKNDE
NI TLETVCHD PKLPYHDF ILEDAASPKC IMKEKKKPGETFFMCS CS SDECN
DNI I FSEEYNTSNPD

110 ESKYGPPCPP CPAPEFLGGPSVFL FPPKPKDTLM I S RTPEVTCVVVDVSQE h Ig G4 FcAK-CC-CKVSNKGLPS S IEKT I SKAKGQPREPQVYTLPPSQEEMTKNQVSLTCLVKG T2 bAA fusion FYPSD IAVEWESNGQPENNYKTTPPVLDSDGSFFLYSKLTVDKSRWQEGNV
FS CSVMHEALHNHYTQKSLSLSLG I PPHVQKSVNNDM IVTDNNGAVKFPQL
CKFCDVRFSTCDNQKS CMSNCS ITS I CEKPQEVCVAVWRKNDENI TLETVC
HDPKLPYHDF ILEDAASPKC IMKEKKKPGETFFMCS CS SDECNDNI I FSEE
YNTSNPD I PPHVQKSDVEMEAQKDE I IAPSANRTAHPLRHINNDMIVTDNN
GAVKFPQLCKFCDVRFSTCDNQKS CMSNCS ITS I CE KPQEVCVAVWRKNDE
NI TLETVCHD PKLPYHDF ILEDAASPKC IMKEKKKPGETFFMC S CS SDECN
DNI I FSEEYNTSNPD
1 1 1 PPCPAPELLGGPSVFL FPPKPKDTLM I SRTPEVTCVVVDVSHEDPEVKFNW h Ig G1 FcAK-C-T2-YVDGVEVHNAKTKPREEQYNSTYRVVSVLTVLHQDWLNGKEYKCKVSNKAL T2-T2 fusion PAP I EKT I SKAKGQPREPQVYTLP PSRDEL TKNQVS LTCLVKGFYPSD IAV
EWESNGQPENNYKTTPPVLDSDGSFFLYSKLTVDKSRWQQGNVFSCSVMHE
ALHNHYTQKS LSLS PG I PPHVQKSVNNDM IVTDNNGAVKFPQLCKFCDVRF
STCDNQKSCMSNCS ITS I CEKPQEVCVAVWRKNDENI TLETVCHDPKLPYH
DF ILEDAAS P KC IMKEKKKPGETF FMCS CS SDECNDNI I FSEEYNTSNPD I
PPHVQKSVNNDMIVTDNNGAVKFPQLCKFCDVRFSTCDNQKS CMSNCS ITS
I CEKPQEVCVAVWRKNDENI TLETVCHDPKLPYHDF I LEDAAS PKC IMKEK
KKPGETFFMC S CS SDE CNDNI I FS EEYNTSNPD I PPHVQKSVNNDM IVTDN
NGAVKFPQLCKFCDVRFSTCDNQKSCMSNCS ITS I CEKPQEVCVAVWRKND
ENITLETVCHDPKLPYHDF ILEDAASPKC IMKEKKKPGETFFMCS CS SDEC
NDNI I FSEEYNTSNPD
112 DKTHTCPPCPAPELLGGPSVFLFP PKPKDTLM I SRTPEVTCVVVDVSHEDP h Ig G1 FcAK-CC-EVKFNWYVDGVEVHNAKTKPREEQYNS TYRVVSVLTVLHQDWLNGKEYKCK T2-T2-T2 fusion VSNKALPAP I EKT I S KAKGQPREPQVYTLP PSRDEL TKNQVSL TCLVKGFY
PSD IAVEWESNGQPENNYKTTPPVLDSDGS FFLYS KLTVDKSRWQQGNVFS
CSVMHEALHNHYTQKS LSLS PG I P PHVQKSVNNDM IVTDNNGAVKFPQLCK
FCDVRFSTCDNQKSCMSNCS ITS I CEKPQEVCVAVWRKNDENITLETVCHD
PKLPYHDF ILEDAAS P KC IMKEKKKPGETF FMCS CS SDECNDNI I FSEEYN
TSNPD I PPHVQKSVNNDM IVTDNNGAVKFPQLCKFCDVRFSTCDNQKS CMS

NCS ITS I CEKPQEVCVAVWRKNDENI TLETVCHDPKLPYHDF I LEDAAS P K
C IMKEKKKPGETFFMC S CS SDECNDNI I FS EEYNTSNPD I PPHVQKSVNND
MIVTDNNGAVKFPQLCKFCDVRFSTCDNQKSCMSNCS ITS I CE KPQEVCVA
VWRKNDENITLETVCHDPKLPYHDF ILEDAASPKC IMKEKKKPGETFFMCS
CS SDECNDNI I FSEEYNTSNPD
1 1 3 VECP PCPAPPVAGPSVFLFPPKPKDTLM I S RTPEVTCVVVDVSHEDPEVQF h IgG2FGAK-CC-NWYVDGVEVHNAKTKPREEQFNSTFRVVSVLTVVHQDWLNGKEYKCKVSNK T2-T2-T2 fusion GLPAP IEKT I SKTKGQPREPQVYTLPPSREEMTKNQVSLTCLVKGFYPSD I
SVEWESNGQPENNYKTTPPMLDSDGSFFLYSKLTVDKSRWQQGNVFSCSVM
HEALHNHYTQKSLSLS PG I PPHVQKSVNNDM IVTDNNGAVKFPQLCKFCDV
RFSTCDNQKS CMSNCS ITS I CEKPQEVCVAVWRKNDENI TLETVCHDPKLP
YHDF ILEDAASPKC IMKEKKKPGETFFMCS CS SDECNDNI I FS EEYNTSNP
D I PPHVQKSVNNDM IVTDNNGAVKFPQLCKFCDVRF STCDNQKS CMSNCS I
TS I CEKPQEVCVAVWRKNDENI TLETVCHD PKLPYHDF I LEDAAS PKC IMK
EKKKPGETFFMCS CS SDECNDNI I FSEEYNTSNPD I PPHVQKSVNNDMIVT
DNNGAVKFPQLCKFCDVRFSTCDNQKSCMSNCS ITS I CEKPQEVCVAVWRK
NDENITLETVCHDPKLPYHDF ILEDAASPKC IMKEKKKPGETFFMCS CS SD
ECNDNI I FSEEYNTSNPD
114 ESKYGPPCPP CPAPEFLGGPSVFL FPPKPKDTLM I S RTPEVTCVVVDVSQE h IgG4FGAK-CC-CKVSNKGLPS S IEKT I SKAKGQPREPQVYTLPPSQEEMTKNQVSLTCLVKG =
fusion FYPSD IAVEWESNGQPENNYKTTPPVLDSDGSFFLYSRLTVDKSRWQEGNV
FS CSVMHEALHNHYTQKSLSLSLG I PPHVQKSVNNDM IVTDNNGAVKFPQL
CKFCDVRFSTCDNQKS CMSNCS ITS I CEKPQEVCVAVWRKNDENI TLETVC
HDPKLPYHDF ILEDAASPKC IMKEKKKPGETFFMCS CS SDECNDNI I FSEE
YNTSNPD I PPHVQKSVNNDM IVTDNNGAVKFPQLCKFCDVRF STCDNQKS C
MSNCS ITS I CEKPQEVCVAVWRKNDENI TLETVCHD PKLPYHDF ILEDAAS
PKC IMKEKKKPGETFFMCS CS SDE CNDNI I FSEEYNTSNPD I PPHVQKSVN
NDMIVTDNNGAVKFPQLCKFCDVRFSTCDNQKSCMSNCS ITS I CEKPQEVC
VAVWRKNDEN I TLETVCHDPKLPYHDF ILEDAASPKC IMKEKKKPGETFFM
CS CS SDECNDNI I FSEEYNTSNPD
1 1 5 ESKYGPPCPP CPAPEFLGGPSVFL FPPKPKDTLM I S RTPEVTCVVVDVSQE h IgG4FGAK-CC-CKVSNKGLPS S IEKT I SKAKGQPREPQVYTLPPSQEEMTKNQVSLTCLVKG T2-T2 fusion FYPSD IAVEWESNGQPENNYKTTPPVLDSDGSFFLYSKLTVDKSRWQEGNV
FS CSVMHEALHNHYTQKSLSLSLG I PPHVQKSVNNDM IVTDNNGAVKFPQL
CKFCDVRFSTCDNQKS CMSNCS ITS I CEKPQEVCVAVWRKNDENI TLETVC
HDPKLPYHDF ILEDAASPKC IMKEKKKPGETFFMCS CS SDECNDNI I FSEE
YNTSNPD I PPHVQKSVNNDM IVTDNNGAVKFPQLCKFCDVRF STCDNQKS C
MSNCS ITS I CEKPQEVCVAVWRKNDENI TLETVCHD PKLPYHD F I LEDAAS
PKC IMKEKKKPGETFFMCS CS SDE CNDNI I FSEEYNTSNPD I PPHVQKSVN
NDMIVTDNNGAVKFPQLCKFCDVRFSTCDNQKSCMSNCS ITS I CEKPQEVC
VAVWRKNDEN I TLETVCHDPKLPYHDF ILEDAASPKC IMKEKKKPGETFFM
CS CS SDECNDNI I FSEEYNTSNPD
116 PPCPAPELLGGPSVFL FPPKPKDTLM I SRTPEVTCVVVDVSHEDPEVKFNW h IgG1FGAK-C-T2-YVDGVEVHNAKTKPREEQYNSTYRVVSVLTVLHQDWLNGKEYKCKVSNKAL T2 bAA-T2bAA
PAP I EKT I SKAKGQPREPQVYTLP PSRDEL TKNQVS LTCLVKGFYPSD IAV =
fusion EWESNGQPENNYKTTPPVLDSDGSFFLYSKLTVDKSRWQQGNVFSCSVMHE
ALHNHYTQKS LSLS PG I PPHVQKSVNNDM IVTDNNGAVKFPQLCKFCDVRF
STCDNQKSCMSNCS ITS I CEKPQEVCVAVWRKNDENI TLETVCHDPKLPYH
DF ILEDAAS P KC IMKE KKKPGETF FMCS CS SDECNDNI I FSEEYNTSNPD I
PPHVQKSDVEMEAQKDE I IAPSANRTAHPLRHINNDMIVTDNNGAVKFPQL
CKFCDVRFSTCDNQKS CMSNCS ITS I CEKPQEVCVAVWRKNDENI TLETVC
HDPKLPYHDF ILEDAASPKC IMKEKKKPGETFFMCS CS SDECNDNI I FSEE
YNTSNPD I PPHVQKSDVEMEAQKDE I IAPSANRTAHPLRHINNDMIVTDNN
GAVKFPQLCKFCDVRFSTCDNQKS CMSNCS ITS I CE KPQEVCVAVWRKNDE
NI TLETVCHD PKLPYHDF ILEDAASPKC IMKEKKKPGETFFMCS CS SDECN
DNI I FSEEYNTSNPD
1 1 7 DKTHTCPPCPAPELLGGPSVFLFP PKPKDTLM I SRTPEVTCVVVDVSHEDP h IgG1FGAK-CC-EVKFNWYVDGVEVHNAKTKPREEQYNSTYRVVSVLTVLHQDWLNGKEYKCK T2-T2bAA-T2bAA
VSNKALPAP I EKT I S KAKGQPREPQVYTLP PSRDEL TKNQVSL TCLVKGFY =
fusion PSD IAVEWESNGQPENNYKTTPPVLDSDGS FFLYS KLTVDKSRWQQGNVFS

CSVMHEALHNHYTQKS LSLS PG I P PHVQKSVNNDM IVTDNNGAVKFPQLC K
FCDVRFSTCDNQKSCMSNCS ITS I CEKPQEVCVAVWRKNDENITLETVCHD
PKLPYHDF ILEDAASP KC IMKEKKKPGETF FMCSCS SDECNDNI I FSEEYN
TSNPD I PPHVQKSDVEMEAQKDE I IAPSANRTAHPLRHINNDMIVTDNNGA
VKFPQLCKFCDVRFSTCDNQKSCMSNCS ITS I CEKPQEVCVAVWRKNDENI
TLETVCHDPKLPYHDF ILEDAASP KC IMKEKKKPGETFFMCSC SSDECNDN
I I FSEEYNTSNPD I PPHVQKSDVEMEAQKDE I IAPSANRTAHPLRHINNDM
IVTDNNGAVKFPQLCKFCDVRFSTCDNQKSCMSNCS ITS I CEKPQEVCVAV
WRKNDENITLETVCHDPKLPYHDF ILEDAASPKCIMKEKKKPGETFFMCSC
SSDECNDNI I FSEEYNTSNPD
1 1 8 VECP PCPAPPVAGPSVFLFPPKPKDTLMI SRTPEVTCVVVDVSHEDPEVQF hIgG2FGAK-CC-NWYVDGVEVHNAKTKPREEQFNSTFRVVSVLTVVHQDWLNGKEYKCKVSNK T2-T2bAA-T2bAA
GLPAP IEKT I SKTKGQPREPQVYTLPPSREEMTKNQVSLTCLVKGFYPSD I fusion SVEWESNGQPENNYKTTPPMLDSDGSFFLYSKLTVDKSRWQQGNVFSCSVM
HEALHNHYTQKSLSLS PG I PPHVQKSVNNDM IVTDNNGAVKFPQLCKFCDV
RFSTCDNQKSCMSNCS ITS I CEKPQEVCVAVWRKNDENI TLETVCHDPKL P
YHDF ILEDAASPKCIMKEKKKPGETFFMCSCSSDECNDNI I FSEEYNTSNP
D I PPHVQKSDVEMEAQKDE I IAPSANRTAHPLRHINNDMIVTDNNGAVKFP
QLCKFCDVRFSTCDNQKSCMSNCS ITS I CEKPQEVCVAVWRKNDENI TLET
VCHDPKLPYHDF ILEDAASPKCIMKEKKKPGETFFMCSCSSDECNDNI IFS
EEYNTSNPD I PPHVQKSDVEMEAQKDE I IAPSANRTAHPLRH I NNDM IVTD
NNGAVKFPQLCKFCDVRFSTCDNQKSCMSNCS ITS I CEKPQEVCVAVWRKN
DENI TLETVCHDPKLPYHDF ILEDAASPKC IMKEKKKPGETFFMCSCSSDE
CNDNI I FSEEYNTSNPD
119 ESKYGPPCPP CPAPEFLGGPSVFL FPPKPKDTLMI SRTPEVTCVVVDVSQE hIgG4FGAK-CC-DPEVQFNWYVDGVEVHNAKTKPREEQFNSTYRVVSVLTVLHQDWLNGKEYK 228P-T2-T2bAA-CKVSNKGLPSS IEKT I SKAKGQPREPQVYTLPPSQEEMTKNQVSLTCLVKG T2bAA fusion FYPSD IAVEWESNGQPENNYKTTP PVLDSDGS FFLYSRLTVDKSRWQEGNV
FS CSVMHEALHNHYTQKSLSLSLG I PPHVQKSVNNDM IVTDNNGAVKFPQL
CKFCDVRFSTCDNQKSCMSNCS ITS I CEKPQEVCVAVWRKNDENI TLETVC
HDPKLPYHDF ILEDAASPKCIMKEKKKPGETFFMCSCSSDECNDNI I FSEE
YNTSNPD I PPHVQKSDVEMEAQKDE I IAPSANRTAHPLRHINNDMIVTDNN
GAVKFPQLCKFCDVRFSTCDNQKSCMSNCS ITS I CE KPQEVCVAVWRKNDE
NI TLETVCHDPKLPYHDF ILEDAASPKCIMKEKKKPGETFFMCSCSSDECN
DNI I FSEEYNTSNPD I PPHVQKSDVEMEAQKDE I IAPSANRTAHPLRH INN
DM IVTDNNGAVKFPQL CKFCDVRF STCDNQKS CMSNCS ITS I CEKPQEVCV
AVWRKNDENI TLETVCHDPKLPYHDF I LEDAAS PKC IMKEKKKPGETFFMC
SCSSDECNDNI I FSEEYNTSNPD
120 ESKYGPPCPP CPAPEFLGGPSVFL FPPKPKDTLMI SRTPEVTCVVVDVSQE hIgG4FGAK-CC-CKVSNKGLPSS IEKT I SKAKGQPREPQVYTLPPSQEEMTKNQVSLTCLVKG
T2bAA-T2bAA
FYPSD IAVEWESNGQPENNYKTTP PVLDSDGS FFLYS KLTVDKSRWQEGNV .
FS CSVMHEALHNHYTQKSLSLSLG I PPHVQKSVNNDM IVTDNNGAVKFPQL fusion CKFCDVRFSTCDNQKSCMSNCS ITS I CEKPQEVCVAVWRKNDENI TLETVC
HDPKLPYHDF ILEDAASPKCIMKEKKKPGETFFMCSCSSDECNDNI I FSEE
YNTSNPD I PPHVQKSDVEMEAQKDE I IAPSANRTAHPLRHINNDMIVTDNN
GAVKFPQLCKFCDVRFSTCDNQKSCMSNCS ITS I CE KPQEVCVAVWRKNDE
NI TLETVCHDPKLPYHDF ILEDAASPKCIMKEKKKPGETFFMCSCSSDECN
DNI I FSEEYNTSNPD I PPHVQKSDVEMEAQKDE I IAPSANRTAHPLRH INN
DM IVTDNNGAVKFPQL CKFCDVRF STCDNQKS CMSNCS ITS I CEKPQEVCV
AVWRKNDENI TLETVCHDPKLPYHDF I LEDAAS PKC IMKEKKKPGETFFMC
SCSSDECNDNI I FSEEYNTSNPD
121 DILLTQSPVILSVSPGERVSFSCRASQSIGTNIHWYQQRTNGSPRLLIKYA Cetuximab LC
SES I SGIPSRFSGSGSGTDFTLS INSVESEDIADYYCQQNNNWPTTFGAGT
KLELKRTVAAPSVF I F PPSDEQLKSGTASVVCLLNNFYPREAKVQWKVDNA
LQSGNSQESVTEQDSKDSTYSLSSTLTLSKADYEKHKVYACEVTHQGLSSP
VTKSFNRGEC
122 QVQLKQSGPGLVQPSQSLS ITCTVSGFSLTNYGVHWVRQSPGKGLEWLGVI Cetuximab HC-WSGGNTDYNTPFTSRLSINKDNSKSQVFFKMNSLQSNDTAIYYCARALTYY T22d35 DYEFAYWGQGTLVTVSAASTKGPSVFPLAPSSKSTSGGTAALGCLVKDYFP
EPVTVSWNSGALTSGVHTFPAVLQS SGLYS LS SVVTVPS S SLGTQTY I CNV
NHKP SNTKVDKRVEPKSCDKTHTCPPCPAPELLGGP SVFLFPP KPKDTLMI

SRTPEVTCVVVDVSHEDPEVKFNWYVDGVEVHNAKTKPREEQYNSTYRVVS
VLTVLHQDWLNGKEYKCKVSNKALPAPIEKTISKAKGQPREPQVYTLPPSR
DELTKNQVSLTCLVKGFYPSDIAVEWESNGQPENNYKTTPPVLDSDGSFFL
YSKLTVDKSRWQQGNVFSCSVMHEALHNHYTQKSLSLSPGKIPPHVQKSVN
NDMIVTDNNGAVKFPQLCKFCDVRFSTCDNQKSCMSNCSITSICEKPQEVC
VAVWRKNDENITLETVCHDPKLPYHDFILEDAASPKCIMKEKKKPGETFFM
CSCSSDECNDNIIFSEEYNTSNPDIPPHVQKSVNNDMIVTDNNGAVKFPQL
CKFCDVRFSTCDNQKSCMSNCSITSICEKPQEVCVAVWRKNDENITLETVC
HDPKLPYHDFILEDAASPKCIMKEKKKPGETFFMCSCSSDECNDNIIFSEE
YNTSNPD
123 QVQLKQSGPGLVQPSQSLSITCTVSGFSLTNYGVHWVRQSPGKGLEWLGVI Cetuximab HC-WSGGNTDYNTPFTSRLSINKDNSKSQVFFKMNSLQSNDTAIYYCARALTYY T2m DYEFAYWGQGTLVTVSAASTKGPSVFPLAPSSKSTSGGTAALGCLVKDYFP
EPVTVSWNSGALTSGVHTFPAVLQSSGLYSLSSVVTVPSSSLGTQTYICNV
NHKPSNTKVDKRVEPKSCDKTHTCPPCPAPELLGGPSVFLFPPKPKDTLMI
SRTPEVTCVVVDVSHEDPEVKFNWYVDGVEVHNAKTKPREEQYNSTYRVVS
VLTVLHQDWLNGKEYKCKVSNKALPAPIEKTISKAKGQPREPQVYTLPPSR
DELTKNQVSLTCLVKGFYPSDIAVEWESNGQPENNYKTTPPVLDSDGSFFL
YSKLTVDKSRWQQGNVFSCSVMHEALHNHYTQKSLSLSPGKIPPHVQKSVN
NDMIVTDNNGAVKFPQLCKFCDVRFSTCDNQKSCMSNCSITSICEKPQEVC
VAVWRKNDENITLETVCHDPKLPYHDFILEDAASPKCIMKEKKKPGETFFM
CSCSSDECNDNIIFSEEYNTSNPD
124 DIQMTQSPSSLSASVGDRVTITCRASQDVNTAVAWYQQKPGKAPKLLIYSA HercepfinLC
SFLYSGVPSRFSGSRSGTDFTLTISSLQPEDFATYYCQQHYTTPPTFGQGT
KVEIKRTVAAPSVFIFPPSDEQLKSGTASVVCLLNNFYPREAKVQWKVDNA
LQSGNSQESVTEQDSKDSTYSLSSTLTLSKADYEKHKVYACEVTHQGLSSP
VTKSFNRGEC
125 EVQLVESGGGLVQPGGSLRLSCAASGFNIKDTYIHWVRQAPGKGLEWVARI Hercepfin HC-YPTNGYTRYADSVKGRFTISADTSKNTAYLQMNSLRAEDTAVYYCSRWGGD T22d35 GFYAMDYWGQGTLVTVSSASTKGPSVFPLAPSSKSTSGGTAALGCLVKDYF
PEPVTVSWNSGALTSGVHTFPAVLQSSGLYSLSSVVTVPSSSLGTQTYICN
VNHKPSNTKVDKKVEPKSCDKTHTCPPCPAPELLGGPSVFLFPPKPKDTLM
ISRTPEVTCVVVDVSHEDPEVKFNWYVDGVEVHNAKTKPREEQYNSTYRVV
SVLTVLHQDWLNGKEYKCKVSNKALPAPIEKTISKAKGQPREPQVYTLPPS
RDELTKNQVSLTCLVKGFYPSDIAVEWESNGQPENNYKTTPPVLDSDGSFF
LYSKLTVDKSRWQQGNVFSCSVMHEALHNHYTQKSLSLSPGKIPPHVQKSV
NNDMIVTDNNGAVKFPQLCKFCDVRFSTCDNQKSCMSNCSITSICEKPQEV
CVAVWRKNDENITLETVCHDPKLPYHDFILEDAASPKCIMKEKKKPGETFF
MCSCSSDECNDNIIFSEEYNTSNPDIPPHVQKSVNNDMIVTDNNGAVKFPQ
LCKFCDVRFSTCDNQKSCMSNCSITSICEKPQEVCVAVWRKNDENITLETV
CHDPKLPYHDFILEDAASPKCIMKEKKKPGETFFMCSCSSDECNDNIIFSE
EYNTSNPD
126 DIQMTQSPSSLSASVGDRVTITCSASQDISNYLNWYQQKPGKAPKVLIYFT Avastin LC
SSLHSGVPSRFSGSGSGTDFTLTISSLQPEDFATYYCQQYSTVPWTFGQGT
KVEIKRTVAAPSVFIFPPSDEQLKSGTASVVCLLNNFYPREAKVQWKVDNA
LQSGNSQESVTEQDSKDSTYSLSSTLTLSKADYEKHKVYACEVTHQGLSSP
VTKSFNRGEC
127 EVQLVESGGGLVQPGGSLRLSCAASGYTFTNYGMNWVRQAPGKGLEWVGWI Avastin HC-NTYTGEPTYAADFKRRFTFSLDTSKSTAYLQMNSLRAEDTAVYYCAKYPHY T22d35 YGSSHWYFDVWGQGTLVTVSSASTKGPSVFPLAPSSKSTSGGTAALGCLVK
DYFPEPVTVSWNSGALTSGVHTFPAVLQSSGLYSLSSVVTVPSSSLGTQTY
ICNVNHKPSNTKVDKKVEPKSCDKTHTCPPCPAPELLGGPSVFLFPPKPKD
TLMISRTPEVTCVVVDVSHEDPEVKFNWYVDGVEVHNAKTKPREEQYNSTY
RVVSVLTVLHQDWLNGKEYKCKVSNKALPAPIEKTISKAKGQPREPQVYTL
PPSRDELTKNQVSLTCLVKGFYPSDIAVEWESNGQPENNYKTTPPVLDSDG
SFFLYSKLTVDKSRWQQGNVFSCSVMHEALHNHYTQKSLSLSPGKIPPHVQ
KSVNNDMIVTDNNGAVKFPQLCKFCDVRFSTCDNQKSCMSNCSITSICEKP
QEVCVAVWRKNDENITLETVCHDPKLPYHDFILEDAASPKCIMKEKKKPGE
TFFMCSCSSDECNDNIIFSEEYNTSNPDIPPHVQKSVNNDMIVTDNNGAVK
FPQLCKFCDVRFSTCDNQKSCMSNCSITSICEKPQEVCVAVWRKNDENITL
ETVCHDPKLPYHDFILEDAASPKCIMKEKKKPGETFFMCSCSSDECNDNII
FSEEYNTSNPD

128 D IQMTQSPSTLSASvGDRvT TcKcQLsvGymHWYQQKPGKAP KLL IYDTS Synagis LC
KLASGVPSRF SGSGSGTEFTLT I S SLQPDDFATYYCFQGSGYP FTFGGGTK
LE I KRTVAAP SVF I FP PSDEQLKSGTASVVCLLNNFYPREAKVQWKVDNAL
QSGNSQESVTEQDSKDSTYSLSSTLTLSKADYEKHKVYACEVTHQGLSSPV
TKSFNRGEC
129 QvTLREsGPALvKPTQTLTLTcTFsGFsLsTsGmsvGwiRQppGKALEwLA Synagis HC-D IWWDDKKDYNPSLKS RLT I S KDTS KNQVVLKVTNMDPADTATYYCARSM I T22d35 TNWYFDVWGAGTTVTVSSASTKGPSVFPLAPSSAAAAGGTAALGCLVKDYF
PEPVTVSWNSGALTSGVHTFPAVLQS SGLYSLS SVVTVPS S SLGTQTY I CN
VNHKPSNTKVDKRVEPKSCDKTHTCPPCPAPELLGGPSVFLFPPKPKDTLM
I SRT PEVTCVVVDVSHEDPEVKFNWYVDGVEVHNAKTKPREE QYNS TYRVV
SVLTVLHQDWLNGKEYKCKVSNKALPAP I E KT I S KAKGQPREPQVYTLPPS
RDEL TKNQVSLTCLVKGFYPSD IAVEWESNGQPENNYKTTPPVLDSDGSFF
LYS KLTVDKS RWQQGNVFS CSVMHEALHNHYTQKSL SLS PG I P PHVQKSVN
NDMIVTDNNGAVKFPQLCKFCDVRFSTCDNQKSCMSNCS ITS I CEKPQEVC
VAVWRKNDEN I TLETVCHDPKLPYHDF I LEDAAS PKC IMKEKKKPGETFFM
CS CS SDECNDNI I FSEEYNTSNPD I PPHVQKSVNNDM IVTDNNGAVKFPQL
CKFCDVRFSTCDNQKSCMSNCS ITS I CEKPQEVCVAVWRKNDENI TLETVC
HDPKLPYHDF ILEDAASPKCIMKEKKKPGETFFMCSCSSDECNDNI I FSEE
YNTSNPD
130 EVQLQASGGGLVQAGGSLRLSCAASGFKI THYTMGWFRQAPGKEREFVSR I FC5-Fc-T22d35 TWGGDNTFYSNSVKGRFT I SRDNAKNTVYLQMNSLKPEDTADYYCAAGSTS
TATPLRVDYWGKGTQVTVS SASEPRGPT I KPCPPCKCPAPNLLGGPSVF IF
PPKI KDVLM I SLSP IVTCVVVDVS EDDPDVQ I SWFVNNVEVHTAQTQTHRE
DYNSTLRVVSALP I QHQDWMSGKE FKCKVNNKDLPAP I ERT I S KPKGSVRA
PQVYVLPPPEEEMTKKQVTLTCMVTDFMPED IYVEWTNNGKTELNYKNTE P
VLDSDGSYFMYSKLRVEKKNWVERNSYSCSVVHEGLHNHHTTKSFSRTPGT
G I PPHVQKSVNNDM IVTDNNGAVKFPQLCKFCDVRF STCDNQKS CMSNCS I
TS I CEKPQEVCVAVWRKNDENI TLETVCHD PKLPYHDF I LEDAAS PKC IMK
EKKKPGETFFMCSCSSDECNDNI I FSEEYNTSNPD I PPHVQKSVNNDMIVT
DNNGAVKFPQLCKFCDVRFSTCDNQKSCMSNCS ITS I CEKPQEVCVAVWRK
NDENITLETVCHDPKLPYHDF ILEDAASPKCIMKEKKKPGETFFMCSCSSD
ECNDNI I FSEEYNTSNPD
131 EVQLQASGGGLVQAGGSLRLSCAASGFKI THYTMGWFRQAPGKEREFVSR I FC5-Fc-T2m TWGGDNTFYSNSVKGRFT I SRDNAKNTVYLQMNSLKPEDTADYYCAAGSTS
TATPLRVDYWGKGTQVTVS SASEPRGPT I KPCPPCKCPAPNLLGGPSVF I F
PPKI KDVLM I SLSP IVTCVVVDVS EDDPDVQ I SWFVNNVEVHTAQTQTHRE
DYNSTLRVVSALP I QHQDWMSGKE FKCKVNNKDLPAP I ERT I S KPKGSVRA
PQVYVLPPPEEEMTKKQVTLTCMVTDFMPED IYVEWTNNGKTELNYKNTEP
VLDSDGSYFMYSKLRVEKKNWVERNSYSCSVVHEGLHNHHTTKSFSRTPGT
G I PPHVQKSVNNDM IVTDNNGAVKFPQLCKFCDVRF STCDNQKS CMSNCS I
TS I CEKPQEVCVAVWRKNDENI TLETVCHD PKLPYHDF I LEDAAS PKC IMK
EKKKPGETFFMCSCSSDECNDNI I FSEEYNTSNPD
132 MGRGLLRGLWPLH IVLWTR 'ASTI ppHvQKsvNNDm ivTDNNGAvKFpQLC T2-h IgG1Fc KFCDVRFSTCDNQKSCMSNCS ITS I CEKPQEVCVAVWRKNDENI TLETVCH fusion from R&D, DPKLPYHDF I LEDAAS PKC IMKEKKKPGETFFMCSC SSDECNDNI I FSEEY also termed T2m-NTSNPDMDPKSCDKTHTCPPCPAPELLGGP SVFLFP PKPKDTLMI SRTPEV
(R&D) TCVVVDVSHEDPEVKFNWYVDGVEVHNAKTKPREEQYNSTYRVVSVLTVLH Fc QDWLNGKEYKCKVSNKALPAP I EKT I S KAKGQPREPQVYTLPP SRDELTKN
QVSL TCLVKGFYPSD IAVEWESNGQPENNYKTTPPVLDSDGSF FLYSKLTV
DKSRWQQGNVFS CSVMHEALHNHYTQKSLS LS PGK
133 MDWTWR I LFLVAAATGTHAI PPHVQKSVNNDM IVTDNNGAVKF PQLCKFCD T2-h IgG2Fc-VRFSTCDNQKSCMSNCS ITS I CEKPQEVCVAVWRKNDENI TLETVCHDPKL CCCC fusion, PYHDF ILEDAASPKCIMKEKKKPGETFFMCSCSSDECNDNI I F SEEYNTSN also termed T2m-PDERKCCVEC PPCPAP PVAGPSVFLFPPKP KDTLMI SRTPEVTCVVVDVSH
EDPEVQFNWYVDGVEVHNAKTKPREEQFNSTFRVVSVLTVVHQDWLNGKEY Fc KCKVSNKGLPAP IEKT I SKTKGQPREPQVYTLPPSREEMTKNQVSLTCLVK
GFYP SD I SVEWESNGQPENNYKTTPPMLDSDGSFFLYSKLTVDKSRWQQGN
VFS C SVMHEALHNHYTQKSLSLS PG
134 Isotope-labelled LPYHDF I LEDAAS PK peptide for T22d35 135 Isotope-labelled ALPAP IEK peptide for Cetuximab VVVDVSHEDPEVKFNWYVDGVEVHNAKTKPREEQYNSTYRVVSVLTVLHQD D10-h Ig G1FcAK-WLNGKEYKCKVSNKAL PAP I EKT I SKAKGQPREPQVYTLPPSRDELTKNQV CC-T2m fusion SLTCLVKGFYPSD IAVEWESNGQPENNYKTTPPVLDSDGSFFLYSKLTVDK
SRWQQGNVFS CSVMHEALHNHYTQKSLSLS PG I PPHVQKSVNNDM IVTDNN
GAVKFPQLCKFCDVRFSTCDNQKS CMSNCS ITS I CEKPQEVCVAVWRKNDE
NI TLETVCHD PKLPYHDF ILEDAASPKC IMKEKKKPGETFFMC S CS SDECN
DNI I FSEEYNTSNPD

LHQDWLNGKEYKCKVSNKALPAP I EKT I S KAKGQPREPQVYTL PPSRDELT hIgG1FcAK-CC-KNQVSLTCLVKGFYPSDIAVEWESNGQPENNYKTTPPVLDSDGSFFLYSKL T2m fusion TVDKSRWQQGNVFS CSVMHEALHNHYTQKS LSLS PG I PPHVQKSVNNDM IV
TDNNGAVKFPQLCKFCDVRFSTCDNQKSCMSNCS ITS I CEKPQEVCVAVWR
KNDENITLETVCHDPKLPYHDF ILEDAAS P KC IMKE KKKPGETFFMCS CS S
DECNDNI IFS EEYNTSNPD

HEDPEVKFNWYVDGVEVHNAKTKPREEQYNSTYRVVSVLTVLHQDWLNGKE D10-h IgG1FcAK-YKCKVSNKALPAPIEKTISKAKGQPREPQVYTLPPSRDELTKNQVSLTCLV C-T2m fusion KGFYPSD IAVEWESNGQPENNYKTTPPVLDSDGSFFLYSKLTVDKSRWQQG
NVFS CSVMHEALHNHYTQKSLSLS PG I PPHVQKSVNNDM IVTDNNGAVKFP
QLCKFCDVRFSTCDNQKSCMSNCS ITS I CEKPQEVCVAVWRKNDENITLET
VCHDPKLPYHDF ILEDAASPKC IMKEKKKPGETFFMCS CS SDE CNDNI IFS
EEYNTSNPD

TCVVVDVSHEDPEVKFNWYVDGVEVHNAKTKPREEQYNSTYRVVSVLTVLH n n (c4 _ . --k---3-)2-QDWLNGKEYKCKVSNKALPAP I EKT I S KAKGQPREPQVYTLPP SRDELTKN hIgG1FcAK-C-QVSLTCLVKGFYPSDIAVEWESNGQPENNYKTTPPVLDSDGSFFLYSKLTV T2m fusion DKSRWQQGNVFS CSVMHEALHNHYTQKSLS LS PG I P PHVQKSVNNDM IVTD
NNGAVKFPQLCKFCDVRFSTCDNQKSCMSNCS ITS I CEKPQEVCVAVWRKN
DENI TLETVCHDPKLPYHDF ILEDAASPKC IMKEKKKPGETFFMCS CS SDE
CNDNI I FSEEYNTSNPD
140 DDDDDDDDDDVECPPC PAPPVAGP SVFLFP PKPKDTLM I SRTPEVTCVVVD D10-h IgG2FcAK-VSHEDPEVQPNWYVDGVEVHNAKTKPREEQFNSTFRVVSVLTVVHQDWLNG CC-T2m fusion KEYKCKVSNKGLPAP I EKT I S KTKGQPREPQVYTLP PSREEMTKNQVSLTC
LVKGFYPSD I SVEWESNGQPENNYKTTPPMLDSDGS FFLYSKLTVDKSRWQ
QGNVFS CSVMHEALHNHYTQKSLS LS PG I P PHVQKSVNNDM IVTDNNGAVK
FPQLCKFCDVRFSTCDNQKSCMSNCS ITS I CEKPQEVCVAVWRKNDENITL
ETVCHDPKLPYHDF ILEDAASPKC IMKEKKKPGETF FMCS CS SDECNDNI I
FSEEYNTSNPD
141 DDDDDDDDDDES KYGP PCPPCPAPEFLGGP SVFLFP PKPKDTLM I SRTPEV D10-h IgG4FcAK-TCVVVDVSQEDPEVQPNWYVDGVEVHNAKTKPREEQFNSTYRVVSVLTVLH CC-228P-T2m QDWLNGKEYKCKVSNKGLPSS IEKT I S KAKGQPREPQVYTLP PSQEEMTKN =
rusion QVSLTCLVKGFYPSD IAVEWESNGQPENNYKTTPPVLDSDGSFFLYSRLTV
DKSRWQEGNVFS CSVMHEALHNHYTQKSLS LSLG I P PHVQKSVNNDM IVTD
NNGAVKFPQLCKFCDVRFSTCDNQKSCMSNCS ITS I CEKPQEVCVAVWRKN
DENI TLETVCHDPKLPYHDF ILEDAASPKC IMKEKKKPGETFFMCS CS SDE
CNDNI I FSEEYNTSNPD
142 DDDDDDDDDDES KYGP PCPPCPAPEFLGGP SVFLFP PKPKDTLM I SRTPEV D10-h IgG4FcAK-QDWLNGKEYKCKVSNKGLPSS I EKT I S KAKGQPREPQVYTLPP SQEEMTKN T2m fusion QVSLTCLVKGFYPSD IAVEWESNGQPENNYKTTPPVLDSDGS F FLYS KLTV
DKSRWQEGNVFS CSVMHEALHNHYTQKSLS LSLG I P PHVQKSVNNDM IVTD
NNGAVKFPQLCKFCDVRFSTCDNQKSCMSNCS ITS I CEKPQEVCVAVWRKN
DENI TLETVCHDPKLPYHDF ILEDAASPKC IMKEKKKPGETFFMCS CS SDE
CNDNI I FSEEYNTSNPD

VVVDVSHEDPEVKFNWYVDGVEVHNAKTKPREEQYNSTYRVVSVLTVLHQD D10-h Ig G1FGAK-WLNGKEYKCKVSNKAL PAP I EKT I SKAKGQPREPQVYTLPPSRDELTKNQV CC-T22d35 fusion SLTCLVKGFYPSD IAVEWESNGQPENNYKTTPPVLDSDGSFFLYSKLTVDK
SRWQQGNVFS CSVMHEALHNHYTQKSLSLS PG I PPHVQKSVNNDM IVTDNN
GAVKFPQLCKFCDVRFSTCDNQKS CMSNCS ITS I CEKPQEVCVAVWRKNDE
NI TLETVCHD PKLPYHDF ILEDAASPKC IMKEKKKPGETFFMC S CS SDECN
DNI I FSEEYNTSNPD I PPHVQKSVNNDMIVTDNNGAVKFPQLCKFCDVRFS
TCDNQKSCMSNCS ITS I CEKPQEVCVAVWRKNDENI TLETVCHDPKLPYHD
F ILEDAASPKC IMKEKKKPGETFFMCS CS SDECNDNI I FSEEYNTSNPD
DDDDDDDDDDVECPPC PAPPVAGP SVFLFP PKPKDTLM I SRTPEVTCVVVD
144 VSHEDPEVQFNWYVDGVEVHNAKTKPREEQFNSTFRVVSVLTVVHQDWLNG D10-h IgG2FcAK-KEYKCKVSNKGLPAP I EKT I S KTKGQPREPQVYTLP PSREEMTKNQVSLTC CC-T22d35 fusion LVKGFYPSD I SVEWESNGQPENNYKTTPPMLDSDGS FFLYSKLTVDKSRWQ
QGNVFS CSVMHEALHNHYTQKSLS LS PG I P PHVQKSVNNDM IVTDNNGAVK
FPQLCKFCDVRFSTCDNQKSCMSNCS ITS I CEKPQEVCVAVWRKNDENITL
ETVCHDPKLPYHDF ILEDAASPKC IMKEKKKPGETF FMCS CS SDECNDNI I
FSEEYNTSNPD I PPHVQKSVNNDM IVTDNNGAVKFPQLCKFCDVRFSTCDN
QKSCMSNCS ITS I CEKPQEVCVAVWRKNDENITLETVCHDPKLPYHDF ILE
DAAS PKC IMKEKKKPGETFFMCSCSSDECNDNI I FS EEYNTSNPD
145 DDDDDDDDDDES KYGP PCPPCPAPEFLGGP SVFLFP PKPKDTLM I SRTPEV D10-h IgG4FGAK-TCVVVDVSQEDPEVQFNWYVDGVEVHNAKTKPREEQFNSTYRVVSVLTVLH CC-228P-T22d35 QDWLNGKEYKCKVSNKGLPSS IEKT I S KAKGQPREPQVYTLPP SQEEMTKN =
rusion QVSLTCLVKGFYPSD IAVEWESNGQPENNYKTTPPVLDSDGSFFLYSRLTV
DKSRWQEGNVFS CSVMHEALHNHYTQKSLS LSLG I P PHVQKSVNNDM IVTD
NNGAVKFPQLCKFCDVRFSTCDNQKSCMSNCS ITS I CEKPQEVCVAVWRKN
DENI TLETVCHDPKLPYHDF ILEDAASPKC IMKEKKKPGETFFMCS CS SDE
CNDN I I FSEEYNTSNPD I PPHVQKSVNNDM IVTDNNGAVKFPQLCKFCDVR
FSTCDNQKSCMSNCS ITS I CEKPQEVCVAVWRKNDENITLETVCHDPKLPY
HDF I LEDAAS PKC IMKEKKKPGETFFMCSCSSDECNDNI I FS EEYNTSNPD

TCVVVDVSQEDPEVQFNWYVDGVEVHNAKTKPREEQFNSTyRVVSVLTVLH D10-h IgG4FGAK-QVSL TCLVKGFYPSD IAVEWESNGQPENNYKTTPPVLDSDGS F FLYS KLTV T22d35 fusion DKSRWQEGNVFS CSVMHEALHNHYTQKSLS LSLG I P PHVQKSVNNDM IVTD
NNGAVKFPQLCKFCDVRFSTCDNQKSCMSNCS ITS I CEKPQEVCVAVWRKN
DENI TLETVCHDPKLPYHDF ILEDAASPKC IMKEKKKPGETFFMCS CS SDE
CNDN I I FSEEYNTSNPD I PPHVQKSVNNDM IVTDNNGAVKFPQLCKFCDVR
FSTCDNQKSCMSNCS ITS I CEKPQEVCVAVWRKNDENITLETVCHDPKLPY
HDF I LEDAAS PKC IMKEKKKPGETFFMCSCSSDECNDNI I FS EEYNTSNPD
147 DDDDDDDDDDDKTHTCPPCPAPELLGGPSVFLFPPKPKDTLM I SRTPEVTC D10-h IgG1FGAK-WLNGKEYKCKVSNKAL PAP I EKT I SKAKGQPREPQVYTLPPSRDELTKNQV =
fusion SLTCLVKGFYPSD IAVEWESNGQPENNYKTTPPVLDSDGSFFLYSKLTVDK
SRWQQGNVFS CSVMHEALHNHYTQKSLSLS PG I PPHVQKSVNNDM IVTDNN
GAVKFPQLCKFCDVRFSTCDNQKS CMSNCS ITS I CEKPQEVCVAVWRKNDE
NI TLETVCHD PKLPYHDF ILEDAASPKC IMKEKKKPGETFFMC S CS SDECN
DNI I FSEEYNTSNPD I PPHVQKSVNNDMIVTDNNGAVKFPQLCKFCDVRFS
TCDNQKSCMSNCS ITS I CEKPQEVCVAVWRKNDENI TLETVCHDPKLPYHD
F ILEDAASPKC IMKEKKKPGETFFMCS CS SDECNDNI I FSEEYNTSNPD I P
PHVQKSVNNDMIVTDNNGAVKFPQLCKFCDVRFSTCDNQKSCMSNCS ITS I
CEKPQEVCVAVWRKNDENITLETVCHDPKLPYHDF I LEDAAS P KC IMKEKK
KPGETFFMCS CS SDECNDNI I FSEEYNTSNPD
148 DDDDDDDDDDVECPPC PAPPVAGP SVFLFP PKPKDTLM I SRTPEVTCVVVD D10-h IgG2FGAK-KEYKCKVSNKGLPAP I EKT I S KTKGQPREPQVYTLP PSREEMTKNQVSLTC =
fusion LVKGFYPSD I SVEWESNGQPENNYKTTPPMLDSDGS FFLYSKLTVDKSRWQ
QGNVFS CSVMHEALHNHYTQKSLS LS PG I P PHVQKSVNNDM IVTDNNGAVK
FPQLCKFCDVRFSTCDNQKSCMSNCS ITS I CEKPQEVCVAVWRKNDENITL
ETVCHDPKLPYHDF ILEDAASPKC IMKEKKKPGETF FMCS CS SDECNDNI I
FSEEYNTSNPD I PPHVQKSVNNDM IVTDNNGAVKFPQLCKFCDVRFSTCDN
QKSCMSNCS ITS I CEKPQEVCVAVWRKNDENITLETVCHDPKLPYHDF ILE

DAAS PKC IMKEKKKPGETFFMCSCSSDECNDNI I FS EEYNTSNPD I PPHVQ
KSVNNDMIVTDNNGAVKFPQLCKFCDVRFSTCDNQKSCMSNCS ITS I CEKP
QEVCVAVWRKNDENITLETVCHDPKLPYHDF I LEDAAS PKC IMKEKKKPGE
TFFMCS CS SDECNDNI I FSEEYNTSNPD

DDDDDDDDDDESKYGP PCPPCPAPEFLGGP SVFLFP PKPKDTLM I SRTPEV D10-hIgG4FcAK-QDWLNGKEYKCKVSNKGLPSS I EKT I S KAKGQPREPQVYTLPP SQEEMTKN T2 fusion QVSLTCLVKGFYPSD IAVEWESNGQPENNYKTTPPVLDSDGSFFLYSRLTV
DKSRWQEGNVFS CSVMHEALHNHYTQKSLS LSLG I P PHVQKSVNNDM IVTD
NNGAVKFPQLCKFCDVRFSTCDNQKSCMSNCS ITS I CEKPQEVCVAVWRKN
DENI TLETVCHDPKLPYHDF ILEDAASPKC IMKEKKKPGETFFMCS CS SDE
CNDN I I FSEEYNTSNPD I PPHVQKSVNNDM IVTDNNGAVKFPQLCKFCDVR
FSTCDNQKSCMSNCS ITS I CEKPQEVCVAVWRKNDENI TLETVCHDPKLPY
HDF I LEDAAS PKC IMKEKKKPGETFFMCSCSSDECNDNI I FS EEYNTSNPD
I PPHVQKSVNNDM IVTDNNGAVKF PQLCKF CDVRFS TCDNQKS CMSNCS I T
S I CE KPQEVCVAVWRKNDENI TLETVCHDP KLPYHD F I LEDAAS PKC IMKE
KKKPGETFFMCS CS SDECNDNI I F SEEYNTSNPD

DDDDDDDDDDESKYGP PCPPCPAPEFLGGP SVFLFP PKPKDTLM I SRTPEV D10-hIgG4FcAK-QDWLNGKEYKCKVSNKGLPSS I EKT I S KAKGQPREPQVYTLPP SQEEMTKN T2-T2-T2 fusion QVSLTCLVKGFYPSD IAVEWESNGQPENNYKTTPPVLDSDGS FFLYSKLTV
DKSRWQEGNVFS CSVMHEALHNHYTQKSLS LSLG I P PHVQKSVNNDM IVTD
NNGAVKFPQLCKFCDVRFSTCDNQKSCMSNCS ITS I CEKPQEVCVAVWRKN
DENI TLETVCHDPKLPYHDF ILEDAASPKC IMKEKKKPGETFFMCS CS SDE
CNDN I I FSEEYNTSNPD I PPHVQKSVNNDM IVTDNNGAVKFPQLCKFCDVR
FSTCDNQKSCMSNCS ITS I CEKPQEVCVAVWRKNDENI TLETVCHDPKLPY
HDF I LEDAAS PKC IMKEKKKPGETFFMCSCSSDECNDNI I FS EEYNTSNPD
I PPHVQKSVNNDM IVTDNNGAVKF PQLCKF CDVRFS TCDNQKS CMSNCS I T
S I CE KPQEVCVAVWRKNDENI TLETVCHDP KLPYHD F I LEDAAS PKC IMKE
KKKPGETFFMCS CS SDECNDNI I F SEEYNTSNPD

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De Crescenzo G, Grothe S, Zwaagstra J, Tsang M, O'Connor-McCourt MD (2001) Real-time monitoring of the interactions of transforming growth factor-beta (TGF-beta ) isoforms with latency-associated protein and the ectodomains of the TGF-beta type ll and III
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Claims

CLAIMS:

1. A polypeptide construct comprising:
a first portion comprising the second constant domain (C H2) and/or third constant domain (C H3) of an antibody heavy chain, and a second portion comprising at least two TGF-.beta. superfamily receptor ectodomains (T.beta.SR-ED) linked in tandem, wherein the N-terminus of the second portion is linked to the C-terminus of the first portion.

2. A polypeptide construct comprising:
a first portion comprising the second constant domain (CH2) and/or third constant domain (CH3) of an antibody heavy chain, and a second portion comprising at least one TGF-.beta. superfamily receptor ectodomains (T.beta.SR-ED), wherein the N-terminus of the second portion is linked to the C-terminus of the first portion, and further wherein the first portion does not further comprise an antibody that binds to an antigen that is PD-L1, EGFR1, Her-2, CD4, CD6, CD20, CD25, MUC-1, IL-2, IL-6, or CTLA-4.

3. A polypeptide construct comprising:
a first portion comprising the second constant domain (CH2) and/or third constant domain (C H3) of an antibody heavy chain, and a second portion comprising at least one TGF-.beta. superfamily receptor ectodomain (T.beta.SR-ED), wherein the N-terminus of the second portion is directly fused to the C-terminus of the first portion.

4. A polypeptide construct comprising a first portion comprising the second constant domain (C H2) and/or third constant domain (C H3) of an antibody heavy chain, and a second portion comprising at least one TGF-.beta. superfamily receptor ectodomain (T.beta.SR-ED), wherein the N-terminus of the second portion is linked to the C-terminus of the first portion, and wherein the polypeptide construct neutralizes TGF- .beta., with at least 100-fold more potency than the T.beta.SR-ED alone.

5. The polypeptide construct of claims 2-4, wherein the second portion comprises one T.beta.SR-ED.

6. The polypeptide construct of claim 5, wherein the second portion comprises two T.beta.SR-ED5s.

7. The polypeptide construct according to claims 1-6, wherein the TI3SR-ED
is a TGF-I3 receptor type ll ectodomain (T.beta.R-II-ED).

8. The polypeptide construct of claims 1-6, wherein the T.beta.SR-ED
comprises a sequence selected from the group consisting of SEQ ID NO:35, SEQ ID NO:69, SEQ ID
NO:75, SEQ ID NO:81, and a sequence substantially identical thereto.

9. The polypeptide construct of claims 1-8, wherein the second portion comprises a sequence selected from the group consisting of SEQ ID NO:43 - SEQ ID NO:51, SEQ ID NO:61 - SEQ ID NO:68, SEQ ID NO:73, SEQ ID NO:74, SEQ ID NO:79, SEQ ID NO:80, SEQ ID NO:85, SEQ ID NO:86, SEQ ID NO:88, and a sequence substantially identical thereto.

10. The polypeptide construct of any one of claims 1-8, wherein the first portion further comprises a CH1, a CH1 and VH, or CH1 and scFv.

11. The polypeptide construct of any one of claims 1-10, wherein the antibody heavy chain is of human origin.

12. The polypeptide construct of any one of claims 1-11, wherein the antibody heavy chain is selected from the group consisting of a human IgG1, IgG2, IgG3, or IgG4 heavy chain.

13. The polypeptide construct of any one of claims 1-12, wherein the antibody heavy chain is a human IgG1.

14. The polypeptide construct of claim 4, wherein the polypeptide construct shows longer in vivo half-life compared to the half-life of the second portion alone.

15. The polypeptide construct of any one of claims 1-14, wherein the polypeptide construct is a single chain polypeptide.

16. The polypeptide construct of any one of claims 1-15, wherein the polypeptide construct forms a dimeric polypeptide.

17. The polypeptide construct of claims 1-16, wherein the polypeptide construct is heterodimeric.

18. A polypeptide construct selected from the group consisting of any one of SEQ ID
NO:91 to SEQ ID NO:120, and a sequence substantially identical thereto.

19. A polypeptide construct according to claims 1-16, wherein the construct comprises an antibody, antigen binding fragment thereof, or a targeting moiety.

20. A polypeptide construct according to claim 19, comprising the antibody, antigen binding fragment, or targeting moiety at the N-terminus of the first portion.

21. A polypeptide construct according to claim 19, wherein the antigen binding fragment may be selected from the group consisting of a Fv, scFv, Fab, or sdAb.

22. A polypeptide construct according to claim 19, wherein the antigen binding fragment binds to an antigen that is not PD-L1, EGFR1, Her-2, CD4, CD6, CD20, CD25, MUC-1, IL-2, IL-6, or CTLA-4.

23. A polypeptide construct according to claim 19, wherein the antibody is selected from the group consisting of Cetuximab, Avastin, Herceptin, Synagis, and FC5.

24. A polypeptide construct according to claim 23, wherein the antibody is Cetuximab.

25. A polypeptide construct according to claim 19, wherein the targeting moiety comprises a poly-aspartate sequence motif for bone targeting.

26. A polypeptide construct according to claim 25, wherein the targeting moiety comprises D10.

27. A polypeptide construct according to any preceding claim wherein the construct is a dimeric polypeptide.

28. A polypeptide construct according to claim 27, wherein the dimeric polypeptide comprises:
a first single chain polypeptide comprising a first portion comprising the second constant domain (C H2) and third constant domain (C H3) of an antibody heavy chain, and a heavy chain variable region of a given antibody;
a second portion comprising one or more TGF-.beta. superfamily receptor ectodomains (T.beta.SR-ED), wherein the N-terminus of the second portion is linked to the C-terminus of the first portion, and a second single chain polypeptide comprising a first portion comprising the second constant domain (C H2) and third constant domain (C H3) of an antibody heavy chain, and a light chain variable region of said given antibody;
a second portion comprising one or more TGF-.beta. superfamily receptor ectodomain (T.beta.SR-ED) which is the same or different from the ectodomain(s) in the first polypeptide, wherein the N-terminus of the second portion is linked to the C-terminus of the first portion.

29. A nucleic acid molecule encoding the polypeptide construct of any preceding claim.

30. A vector comprising the nucleic acid molecule of claim 29.

31. A composition comprising one or more than one independently selected polypeptide construct of any one of claims 1 to 30 and a pharmaceutically-acceptable carrier, diluent, or excipient.

32. A transgenic cellular host comprising the nucleic acid molecule of claim 29 or a vector of claim 30.

33. The transgenic cellular host of claim 32, further comprising a second nucleic acid molecule or a second vector encoding a second polypeptide construct different from the first polypeptide construct.

34. The use of a polypeptide construct according to any one of claims 1-28, for treatment of a medical condition, disease or disorder.

35. The use according to claim 34, wherein the medical condition, disease or disorder comprises cancer, ocular diseases, fibrotic diseases, or genetic disorders of connective tissue.